Provider Demographics
NPI:1497868582
Name:HALEGUA, STEVE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:HALEGUA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 RED ROAD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-661-5309
Mailing Address - Fax:305-284-1264
Practice Address - Street 1:7600 RED ROAD
Practice Address - Street 2:SUITE 124
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-661-5309
Practice Address - Fax:305-284-1264
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T55699Medicare UPIN
FL88124Medicare ID - Type Unspecified