Individual provider Active NPI

Sergio Montoya, M.A.

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1104034487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA36518 Issued in FL
Practice address
11373 W Flagler St
Suite 204
Miami, FL 33174-4203
Phone
(305) 226-3214
Fax
(302) 226-3264
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA36518 FL Primary

Addresses

Primary practice location

11373 W Flagler St
Suite 204
Miami, FL 33174-4203

Mailing address

11373 W Flagler St
Suite 204
Miami, FL 33174-4203
Phone (305) 226-3214

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

LicenseStateTypeSpecialty
MA36518FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
S and B Medical Center Inc Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104034487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 W FLAGLER ST",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744203",
            "telephone_number": "305-226-3214",
            "fax_number": "302-226-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 W FLAGLER ST",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744203",
            "telephone_number": "305-226-3214",
            "fax_number": "302-226-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "SERGIO",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA36518",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.