Individual provider Active NPI

Pedro Enrique Diaz-Herrera, LMT

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1265730410
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MA 46170FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.