Active NPI
Juan Enrique Garcia, MA
- Massage Therapist
- Homestead, FL
National Provider Identifier
1134485485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA62388
- Practice address
- 925 NE 30TH Terr.
# 206
Homestead, FL 33033-7614 - Phone
- (305) 246-1265
- Fax
- (305) 246-1240
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA62388 | FL | Primary |
Addresses
Primary practice location
925 NE 30TH Terr.
# 206
Homestead, FL 33033-7614
Mailing address
925 NE 30TH Terr.
# 206
Homestead, FL 33033-7614
Phone (305) 246-1265
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA62388 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1134485485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 NE 30TH TERR.",
"address_2": "# 206",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337614",
"telephone_number": "305-246-1265",
"fax_number": "305-246-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 NE 30TH TERR.",
"address_2": "# 206",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337614",
"telephone_number": "305-246-1265",
"fax_number": "305-246-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JUAN",
"middle_name": "ENRIQUE",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA62388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.