Carol C Espana Acosta, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA92012 Issued in FL

Practice address

3408 W 84TH St Ste 309
Hialeah Gardens, FL 33018-4944

Phone

(954) 765-6505

Fax

(954) 861-4522

NPI assigned

Feb 20, 2020

Last updated

Oct 19, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Complete Wellness, Inc.

  • Multi-Specialty Clinic/Center
  • Hialeah Gardens, FL
  • NPI 1164448197

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1255964052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 309",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184944",
            "telephone_number": "954-765-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 309",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184944",
            "telephone_number": "954-765-6505",
            "fax_number": "954-861-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPANA ACOSTA",
        "first_name": "CAROL",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA92012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110509000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.FloridaCompleteWellness.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "3408 W 84th St Ste 309",
            "city": "Hialeah Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330184944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elite Behavioral, Inc.
• Maria C. Eloy Rodriguez, M.D
• Aracelis Emes
• Tania Enamorado
• Mailin Escalada Pardo
• Jannely Espinal
• Andrea Carolina Espinosa, BS
• Ricardo J. Espinosa, D.M.D.
• Emily Isabel Espinoza
• Katya Espinoza, RPH

• Massage Therapist in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.