Maria Izabel Decamargo

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 49871 Issued in FL

Practice address

6967 SW 115TH PL
Unit G
Miami, FL 33173-1805

Phone

(305) 596-5405

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1255664371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6967 SW 115TH PLACE",
            "address_2": "UNIT G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731890",
            "telephone_number": "786-291-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6967 SW 115TH PL",
            "address_2": "UNIT G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731805",
            "telephone_number": "305-596-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAMARGO",
        "first_name": "MARIA",
        "middle_name": "IZABEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 49871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MA 49871",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.