Healthcare Provider Details

I. General information

NPI: 1710421557
Provider Name (Legal Business Name): GLOBAL ORTHO-SPINAL INTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 NW 7TH ST SUITE 714
MIAMI FL
33126-3422
US

IV. Provider business mailing address

5040 NW 7TH ST SUITE 714
MIAMI FL
33126-3422
US

V. Phone/Fax

Practice location:
  • Phone: 305-306-0940
  • Fax: 305-267-4846
Mailing address:
  • Phone: 305-306-0940
  • Fax: 305-267-4846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH10107
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME122495
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME90684
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberME 83182
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA1424
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA62062
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License NumberCERTIFICATE 15-694
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberCRT86517
License Number StateFL
# 9
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-306-0940