Provider Demographics
NPI:1730942780
Name:HAPPY SPINE WELLNESS CENTER
Entity type:Organization
Organization Name:HAPPY SPINE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:VAITIARE
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-509-8111
Mailing Address - Street 1:7270 NW 12TH ST PH 6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1929
Mailing Address - Country:US
Mailing Address - Phone:305-509-8111
Mailing Address - Fax:305-509-8117
Practice Address - Street 1:7270 NW 12TH ST PH 6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1929
Practice Address - Country:US
Practice Address - Phone:305-965-2862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty