Active NPI
Elisa N Perez-Moral, LMT
- Massage Therapist
- Bayamon, PR
National Provider Identifier
1326482118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 317
- Practice address
- 100 Ave Laurel
Cumic, Santa Juanita
Bayamon, PR 00956-4816 - Phone
- (787) 798-3001
- NPI assigned
- Apr 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 317 | PR | Primary |
Addresses
Primary practice location
100 Ave Laurel
Cumic, Santa Juanita
Bayamon, PR 00956-4816
Mailing address
Ag15 Calle 24
Urb Interamericana
Trujillo Alto, PR 00976-3412
Phone (787) 383-0935
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 |
|---|---|---|---|
| 317 | PR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1326482118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AG15 CALLE 24",
"address_2": "URB INTERAMERICANA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009763412",
"telephone_number": "787-383-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AVE LAUREL",
"address_2": "CUMIC, SANTA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564816",
"telephone_number": "787-798-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-MORAL",
"first_name": "ELISA",
"middle_name": "N",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-23",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PR",
"license": "317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.