Memorialtherapy Center,LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MM25648 Issued in FL

Legal business name

MEMORIALTHERAPY CENTER,LLC

Practice address

3430 W Lambright St
Suite 104
Tampa, FL 33614-4750

Phone

(813) 872-7209

Fax

(813) 872-7207

NPI assigned

Sep 3, 2013

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yosmany Cuellar DuqueNPI 1831524958

Title

Adm

Phone

(813) 872-7209

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yosmany Cuellar Duque, MT

  • Massage Therapist
  • Tampa, FL
  • NPI 1831524958
  NPD (past) Authorized official

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1245665785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 W LAMBRIGHT ST",
            "address_2": "SUITE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144750",
            "telephone_number": "813-872-7209",
            "fax_number": "813-872-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 W LAMBRIGHT ST",
            "address_2": "SUITE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144750",
            "telephone_number": "813-872-7209",
            "fax_number": "813-872-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIALTHERAPY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "CUELLAR DUQUE",
        "authorized_official_first_name": "YOSMANY",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "813-872-7209"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MM25648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Family Pharmacy
• Memorial Medical Center Inc
• Memorial Medical Center Inc
• Memorial of Tampa Emergency Physicians LLC
• Memorial Sweet Alf (LaCasa ALF)
• Memory Lane Cottage at Tampa Palms, LLC (Memory Lane Cottage)
• Anay Mena Jimenez Sr., RBT
• Benjamin NMN Mena, MD
• Katherine Mena, CNM
• Bret Menard

• Health Service Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.