Luis R Maderal, M.A.,M.DIV.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT0001134 Issued in FL

Practice address

8766 SW 8TH St
Miami, FL 33174-3201

Phone

(305) 221-5366

Fax

(305) 667-9496

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Psychosoma, Inc.

  • Marriage & Family Therapist
  • Miami, FL
  • NPI 1316167919
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104045509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563252",
            "telephone_number": "305-221-5366",
            "fax_number": "305-667-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8766 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743201",
            "telephone_number": "305-221-5366",
            "fax_number": "305-667-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERAL",
        "first_name": "LUIS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.A.,M.DIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0001134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Madera, M.D.
• Aileen Maderal
• Andrea Dale Maderal
• Beatriz Maderal, DO
• Luis Alejandro Maderal, LMFT
• Breanna Madeus
• Lunie Madhere, ARNP
• Sehajvir Singh Madhok, M.D.
• Joel Madhukar
• Andrea Marcela Madiedo, M.D.

• Marriage & Family Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Marriage & Family Therapist in Florida

• 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.