Individual provider Active NPI

Roberto Omaix Caballero

  • Reflexologist
  • Hialeah, FL
National Provider Identifier
1295012649
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MA 65504 Issued in FL
Practice address
1490 W 49TH PL
Suite 210
Hialeah, FL 33012-3148
Phone
(305) 823-4008
Fax
(305) 823-4009
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MA 65504 FL Primary

Addresses

Primary practice location

1490 W 49TH PL
Suite 210
Hialeah, FL 33012-3148

Mailing address

1490 W 49TH PL
Suite 210
Hialeah, FL 33012-3148
Phone (305) 823-4008

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 65504FLMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1295012649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL",
            "address_2": "SUITE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123148",
            "telephone_number": "305-823-4008",
            "fax_number": "305-823-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL",
            "address_2": "SUITE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123148",
            "telephone_number": "305-823-4008",
            "fax_number": "305-823-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "ROBERTO",
        "middle_name": "OMAIX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA 65504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.