Active NPI
Pedro Enrique Diaz-Herrera, LMT
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
National Provider Identifier
1265730410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Practice address
- 2260 SW 8TH St Ste 301
Miami, FL 33135-4938 - Phone
- (788) 353-2604
- Fax
- (786) 353-2645
- NPI assigned
- Mar 10, 2011
- Last updated
- Dec 3, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Massage Therapist | 225700000X | MA 46170 | FL |
Addresses
Primary practice location
2260 SW 8TH St Ste 301
Miami, FL 33135-4938
Mailing address
2260 SW 8TH St Ste 301
Miami, FL 33135-4938
Phone (788) 353-2604
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 |
|---|---|---|---|
| MA 46170 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healinghandsconnection.Inc | Massage Therapist | Current | Accepting new patients |
Locations
330 SW 27th Ave
Ste 301
Miami, FL 33135
Phone (786) 254-1572
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1265730410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 SW 8TH ST STE 301",
"city": "MIAMI",
"state": "FL",
"postal_code": "331354938",
"telephone_number": "788-353-2604",
"fax_number": "786-353-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 SW 8TH ST STE 301",
"city": "MIAMI",
"state": "FL",
"postal_code": "331354938",
"telephone_number": "788-353-2604",
"fax_number": "786-353-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-HERRERA",
"first_name": "PEDRO",
"middle_name": "ENRIQUE",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-10",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 46170",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.