Lumina Massage

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

LUMINA MASSAGE

Practice address

15165 NW 77TH Ave
Miami Lakes, FL 33014-7801

Phone

(305) 900-8285

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Michelle O. Rodriguez, LMT

Title

Owner

Phone

(786) 312-7321

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1255049425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 NW 170TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153722",
            "telephone_number": "786-312-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15165 NW 77TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147801",
            "telephone_number": "305-900-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-312-7321",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Rehabilitation Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.