Organization Active NPI

Superstar Medical Group, Inc

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1164782231
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60695 Issued in FL
Legal business name
SUPERSTAR MEDICAL GROUP, INC
Practice address
949 SW 122 Ave
Miami, FL 33184
Phone
(305) 226-0400
NPI assigned
May 23, 2012
Last updated
May 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Yelina Espinosa
Title
President
Phone
(305) 226-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60695 FL Primary

Addresses

Primary practice location

949 SW 122 Ave
Miami, FL 33184

Mailing address

949 SW 122ND Ave
Miami, FL 33184-2406
Phone (305) 226-0400

National Provider Directory

National Provider Directory

Locations

949 SW 122nd Ave
Miami, FL 33184
Phone (305) 553-0387

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1164782231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842406",
            "telephone_number": "305-226-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 SW 122 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33184",
            "telephone_number": "305-226-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSTAR MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "YELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-226-0400"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 60695",
            "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 May 23, 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.

Verify at the official NPI Registry.