Provider Demographics
NPI:1528697356
Name:DR. RAFAEL A. CODINACH, D.C. INC.
Entity type:Organization
Organization Name:DR. RAFAEL A. CODINACH, D.C. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CODINACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-343-8448
Mailing Address - Street 1:9831 NW 58TH ST UNIT 148
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2715
Mailing Address - Country:US
Mailing Address - Phone:305-343-8448
Mailing Address - Fax:305-860-1528
Practice Address - Street 1:9831 NW 58TH ST UNIT 148
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2715
Practice Address - Country:US
Practice Address - Phone:305-343-8448
Practice Address - Fax:305-860-1528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty