Provider Demographics
NPI:1356818983
Name:JOINT REGENERATION INSTITUTE, INC.
Entity Type:Organization
Organization Name:JOINT REGENERATION INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:LAFIELD
Authorized Official - Last Name:PACHECO
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:954-549-9203
Mailing Address - Street 1:2731 EXECUTIVE PARK DR STE 9
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3659
Mailing Address - Country:US
Mailing Address - Phone:954-756-8211
Mailing Address - Fax:954-756-8215
Practice Address - Street 1:2731 EXECUTIVE PARK DR STE 9
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3659
Practice Address - Country:US
Practice Address - Phone:954-756-8211
Practice Address - Fax:954-756-8215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty