Provider Demographics
NPI:1013460401
Name:TOTAL CHIROPRACTIC SOLUTIONS INC.
Entity Type:Organization
Organization Name:TOTAL CHIROPRACTIC SOLUTIONS INC.
Other - Org Name:TOTAL CHIROPRACTIC SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-772-3580
Mailing Address - Street 1:11010 N KENDALL DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1216
Mailing Address - Country:US
Mailing Address - Phone:786-953-8667
Mailing Address - Fax:786-953-8717
Practice Address - Street 1:11010 N KENDALL DR
Practice Address - Street 2:SUITE 104
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1216
Practice Address - Country:US
Practice Address - Phone:786-953-8667
Practice Address - Fax:786-953-8717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty