Individual provider Active NPI

Miryam Mercedes Ramos Guette

  • Massage Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1063014132
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA52373 Issued in FL
Practice address
790 E Broward Blvd Apt 314
Fort Lauderdale, FL 33301-2898
Phone
(786) 973-1574
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 MA52373 FL Primary

Addresses

Primary practice location

790 E Broward Blvd Apt 314
Fort Lauderdale, FL 33301-2898

Mailing address

429 Coconut Isle Dr
Fort Lauderdale, FL 33301-2425
Phone (786) 973-1574

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

State licenses

LicenseStateTypeSpecialty
MA52373FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1063014132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 COCONUT ISLE DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012425",
            "telephone_number": "786-973-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E BROWARD BLVD APT 314",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012898",
            "telephone_number": "786-973-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS GUETTE",
        "first_name": "MIRYAM",
        "middle_name": "MERCEDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA52373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.