Provider Demographics
NPI:1023446762
Name:RUBINSTEIN, MELISSA MIRANDA (DC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MIRANDA
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:MIRANDA
Other - Last Name:HERMIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20341 OLD CUTLER RD
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1831
Mailing Address - Country:US
Mailing Address - Phone:305-336-1803
Mailing Address - Fax:786-323-6759
Practice Address - Street 1:20341 OLD CUTLER RD
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1831
Practice Address - Country:US
Practice Address - Phone:305-336-1803
Practice Address - Fax:786-323-6759
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor