Active NPI
Sylvia Dolores Nunez Otero, LMT
- Massage Therapist
- Plantation, FL
National Provider Identifier
1245698216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA76356
- Practice address
- 13224 W Broward Blvd
Plantation, FL 33325-2228 - Phone
- (954) 400-5504
- Fax
- (954) 400-5503
- NPI assigned
- Feb 5, 2016
- Last updated
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA 187366 | FL | |
| Massage Therapist | 225700000X | MA76356 | FL | Primary |
Addresses
Primary practice location
13224 W Broward Blvd
Plantation, FL 33325-2228
Mailing address
12027 Royal Palm Blvd
Coral Springs, FL 33065-3300
Phone (954) 857-4851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA76356 | Other | FL | LICENSED MASSAGE THERAPIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA76356 | FL | MD | Massage Therapist |
| CNA 187366 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1245698216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12027 ROYAL PALM BLVD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653300",
"telephone_number": "954-857-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13224 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333252228",
"telephone_number": "954-400-5504",
"fax_number": "954-400-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ OTERO",
"first_name": "SYLVIA",
"middle_name": "DOLORES",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA 187366",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA76356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "MA76356",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.