Individual provider Active NPI

Gina Mabel Cabrera Vieda

  • Massage Therapist
  • Boca Raton, FL
National Provider Identifier
1245843648
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA87539 Issued in FL
Practice address
6342 Longboat LN W Apt 404
Boca Raton, FL 33433-8096
Phone
(808) 971-1684
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 MA87539 FL Primary

Addresses

Primary practice location

6342 Longboat LN W Apt 404
Boca Raton, FL 33433-8096

Mailing address

6342 Longboat LN W Apt 404
Boca Raton, FL 33433-8096
Phone (808) 971-1684

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

LicenseStateTypeSpecialty
MA87539FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1245843648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 LONGBOAT LN W APT 404",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338096",
            "telephone_number": "808-971-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 LONGBOAT LN W APT 404",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338096",
            "telephone_number": "808-971-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA VIEDA",
        "first_name": "GINA",
        "middle_name": "MABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA87539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.