Provider Demographics
NPI:1679640916
Name:DURAN, ALEJANDRO (DC)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:DURAN
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 1:9350 SW 147TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7916
Mailing Address - Country:US
Mailing Address - Phone:786-369-1160
Mailing Address - Fax:786-369-1164
Practice Address - Street 1:9415 SUNSET DR STE 161
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5429
Practice Address - Country:US
Practice Address - Phone:786-369-1160
Practice Address - Fax:786-369-1164
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8683111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89486ZMedicare ID - Type Unspecified