Active NPI
Lisandra Borges, LMT,BMO,CNA
- Massage Therapist
- Miami Springs, FL
National Provider Identifier
1134462831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA67852
- Practice address
- 601 Ludlam Dr Apt 9
Miami Springs, FL 33166-4971 - Phone
- (786) 486-4958
- Fax
- (786) 462-4330
- NPI assigned
- Apr 1, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA67852 | FL | Primary |
| Radiologic Technologist | 247100000X | BMO73476 | FL | |
| Home Health Aide | 374U00000X | CNA139605 | FL |
Addresses
Primary practice location
601 Ludlam Dr Apt 9
Miami Springs, FL 33166-4971
Mailing address
601 Ludlam Dr Apt 9
Miami Springs, FL 33166-4971
Phone (786) 486-4958
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA67852 | FL | MD | Massage Therapist |
| BMO73476 | FL | MD | Radiologic Technologist |
| CNA139605 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1134462831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 LUDLAM DR APT 9",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331664971",
"telephone_number": "786-486-4958",
"fax_number": "786-462-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 LUDLAM DR APT 9",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331664971",
"telephone_number": "786-486-4958",
"fax_number": "786-462-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGES",
"first_name": "LISANDRA",
"credential": "LMT,BMO,CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA67852",
"primary": true
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "FL",
"license": "BMO73476",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "CNA139605",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.