Provider Demographics
NPI:1881094654
Name:MONSALVE INTEGRATIVE CHIROPRACTIC INC.
Entity type:Organization
Organization Name:MONSALVE INTEGRATIVE CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MONSALVE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-209-4731
Mailing Address - Street 1:6705 S RED RD
Mailing Address - Street 2:SUITE 702
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3622
Mailing Address - Country:US
Mailing Address - Phone:305-209-4731
Mailing Address - Fax:
Practice Address - Street 1:6705 S RED RD
Practice Address - Street 2:SUITE 702
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3622
Practice Address - Country:US
Practice Address - Phone:305-209-4731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty