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NPI Code Detail

MEDICARE: MR. JOSE A PELAYO DC

MEDICARE: MR. JOSE A PELAYO DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH5513FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730314170
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSE A PELAYO DC
Provider Business Mailing Address
First Line : 1500 SW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33145-2043
Country : US
Telephone Number : 305-448-1500
Fax Number : 305-448-8681
Provider Business Practice Location Address
First Line : 1500 SW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33145-2043
Country : US
Telephone Number : 305-448-1500
Fax Number : 305-448-8681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 05/28/2009

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Directions to “ MR. JOSE A PELAYO DC” Practice Location

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