Individual provider Active NPI

Alberto Rivero Fundora, MT

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1194026955
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60725 Issued in FL
Practice address
8300 W Flagler St
Miami, FL 33144-6000
Phone
(305) 460-0045
Fax
(305) 460-0075
NPI assigned
Nov 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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 MA60725 FL Primary

Addresses

Primary practice location

8300 W Flagler St
Miami, FL 33144-6000

Mailing address

1737 SW 7TH St
Apt 3
Miami, FL 33135-3563
Phone (305) 370-5374

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
Medical Technician

State licenses

LicenseStateTypeSpecialty
MA60725FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1194026955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 SW 7TH ST",
            "address_2": "APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353563",
            "telephone_number": "305-370-5374",
            "fax_number": "305-460-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331446000",
            "telephone_number": "305-460-0045",
            "fax_number": "305-460-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO FUNDORA",
        "first_name": "ALBERTO",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA60725",
            "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 Nov 10, 2010; 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.