Individual provider Active NPI

Milhairy Salisha Muniz

  • Massage Therapist
  • Moca, PR
National Provider Identifier
1104409226
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0080 Issued in PR
Practice address
Carr. 110 KM 3.5
Edif. Dr. Vale Colon
Moca, PR 00676
Phone
(939) 232-3806
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 0080 PR Primary

Addresses

Primary practice location

Carr. 110 KM 3.5
Edif. Dr. Vale Colon
Moca, PR 00676

Mailing address

RR 4 Box 5413
Anasco, PR 00610-9565
Phone (939) 238-3806

Other identifiers 1

IdentifierTypeStateIssuer
66-0971762MedicaidPR

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
0080PRMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1104409226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 5413",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109565",
            "telephone_number": "939-238-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 110 KM 3.5",
            "address_2": "EDIF. DR. VALE COLON",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "939-232-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "MILHAIRY",
        "middle_name": "SALISHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PR",
            "license": "0080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66-0971762",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.