Organization Active NPI

New Moon Massage Services Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1184058406
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC8563 Issued in FL
Legal business name
NEW MOON MASSAGE SERVICES INC
Practice address
1140 W 50TH St
Suite 402
Hialeah, FL 33012-3440
Phone
(305) 888-2002
Fax
(305) 888-2003
NPI assigned
Aug 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Juan C Correa Vila
Title
President
Phone
(305) 888-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC8563 FL Primary

Addresses

Primary practice location

1140 W 50TH St
Suite 402
Hialeah, FL 33012-3440

Mailing address

1140 W 50TH St
Suite 402
Hialeah, FL 33012-3440
Phone (305) 888-2002

National Provider Directory

National Provider Directory

Locations

1140 W 50th St
Ste 402
Hialeah, FL 33012
Phone (305) 825-4487

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1184058406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST",
            "address_2": "SUITE 402",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123440",
            "telephone_number": "305-888-2002",
            "fax_number": "305-888-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST",
            "address_2": "SUITE 402",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123440",
            "telephone_number": "305-888-2002",
            "fax_number": "305-888-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON MASSAGE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "CORREA VILA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-888-2002"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC8563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.