Individual provider Active NPI

Roberto Perez, M.T.

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1235437880
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 59571 Issued in FL
Practice address
701 SW 27TH Ave Ste 960
Miami, FL 33135-3000
Phone
(786) 536-3718
Fax
(305) 642-5302
NPI assigned
Mar 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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 MA 59571 FL Primary

Addresses

Primary practice location

701 SW 27TH Ave Ste 960
Miami, FL 33135-3000

Mailing address

701 SW 27TH Ave Ste 960
Miami, FL 33135-3000
Phone (786) 536-3718

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
MA 59571FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Therapy Service Center Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1235437880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SW 27TH AVE STE 960",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353000",
            "telephone_number": "786-536-3718",
            "fax_number": "305-642-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SW 27TH AVE STE 960",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353000",
            "telephone_number": "786-536-3718",
            "fax_number": "305-642-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 59571",
            "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 Mar 7, 2011; 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.