Active NPI
Yudelkis Ricardo, MA
- Massage Therapist
- Miami, FL
National Provider Identifier
1043580814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 66099
- Practice address
- 8660 W Flagler St
Suite 104
Miami, FL 33144-2031 - Phone
- (305) 222-9214
- Fax
- (305) 222-9244
- NPI assigned
- Jan 10, 2012
- Last updated
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 66099 | FL | Primary |
Addresses
Primary practice location
8660 W Flagler St
Suite 104
Miami, FL 33144-2031
Mailing address
8660 W Flagler St
Suite 104
Miami, FL 33144-2031
Phone (305) 222-9214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453837147 | Other | FL | MASSAGE THERAPY |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 66099 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1043580814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8660 W FLAGLER ST",
"address_2": "SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442031",
"telephone_number": "305-222-9214",
"fax_number": "305-222-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8660 W FLAGLER ST",
"address_2": "SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442031",
"telephone_number": "305-222-9214",
"fax_number": "305-222-9244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICARDO",
"first_name": "YUDELKIS",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 66099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "453837147",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.