Provider Demographics
NPI:1790117752
Name:INJURYONE, INC
Entity Type:Organization
Organization Name:INJURYONE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MPH, PAC
Authorized Official - Phone:305-333-4198
Mailing Address - Street 1:15555 SW 26TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4948
Mailing Address - Country:US
Mailing Address - Phone:305-333-4198
Mailing Address - Fax:
Practice Address - Street 1:9831 NW 58TH ST
Practice Address - Street 2:SUITE 148
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2713
Practice Address - Country:US
Practice Address - Phone:305-333-4198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6672111N00000X
FLME97569204R00000X, 2081N0008X
FLME56376207X00000X
FLPA9102542261QM2500X, 363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME97569OtherDR. VICTORIA GAUS FLORIDA MEDICAL LICENSE
FLPA9102542OtherFLORIDA PHYSICIAN ASSISTANT
FLCH6672OtherFLORIDA CHIROPRACTOR
NY006340OtherNEW YORK CHIROPRACTIC LICENSE