Individual provider Active NPI

Veronica Moncivais, MT

  • Massage Therapist
  • Alamo, TX
National Provider Identifier
1043568702
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT044504 Issued in TX
Practice address
1019 W Highway 83
Ste. P
Alamo, TX 78516-2530
Phone
(956) 787-8255
Fax
(956) 782-9977
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT044504 TX Primary

Addresses

Primary practice location

1019 W Highway 83
Ste. P
Alamo, TX 78516-2530

Mailing address

1019 W Highway 83
Ste. P
Alamo, TX 78516-2530
Phone (956) 787-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT044504TXMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1043568702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 W HIGHWAY 83",
            "address_2": "STE. P",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162530",
            "telephone_number": "956-787-8255",
            "fax_number": "956-782-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 W HIGHWAY 83",
            "address_2": "STE. P",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162530",
            "telephone_number": "956-787-8255",
            "fax_number": "956-782-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCIVAIS",
        "first_name": "VERONICA",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT044504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.