Michael Valerio Eguizabal, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20045 Issued in FL

Practice address

12970 SW 117 St
Miami, FL 33186-4611

Phone

(786) 261-6752

Fax

(800) 806-9071

NPI assigned

Sep 7, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 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.

• Abc Pediatric Rehab, Inc

  • Developmental Therapist
  • Miami, FL
  • NPI 1598941833
  NPD (past) Authorized official
• Abc Pediatric Rehab, Inc

  • Occupational Therapist
  • Miami, FL
  • NPI 1639271000

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275637647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12970 SW 117 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864611",
            "telephone_number": "786-261-6752",
            "fax_number": "800-806-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 SW 117 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864611",
            "telephone_number": "786-261-6752",
            "fax_number": "800-806-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUIZABAL",
        "first_name": "MICHAEL",
        "middle_name": "VALERIO",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20045",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212057",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilianne Egue Rodriguez, RBT
• Vanessa Egued
• Yisel Egues Gonzalez
• Daniela De la Caridad Eguiguren
• Alessandra Michelle Eguiluz
• Awilda Egurrola
• Yudenia Egusquiza Ibanez
• Amelia Julia Egusquiza Toledo
• Alexander Jonas Egusquiza, M.D.
• Jonas Egusquiza, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.