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General NPI Number Information
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NPI Number | 1326673013
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Entity Type | Organization
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Legal Business Name | UNIVERSAL INJURY GROUP OF LITTLE HAVANA INC
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2100 SW 22ND ST STE 504
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City | MIAMI
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State | FL
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Zip | 33145-2657
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Country | US
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Telephone | 786-224-6711
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Fax | 305-402-7604
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Provider Business Mailing Address
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Address Line | PO BOX 164005
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City | MIAMI
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State | FL
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Zip | 33116-4005
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Country | US
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Telephone | 786-224-6711
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEJANDRO JOSE FIALLOS
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Credential |
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Telephone | 305-923-0484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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