Active NPI
Benigno Pena, MASSAGE THERAPIST
- Massage Therapist
- Miami, FL
National Provider Identifier
1376836676
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Mar 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 62320
- Practice address
- 7124 SW 114TH PL Apt G
Miami, FL 33173-1885 - Phone
- (786) 291-1803
- Fax
- (305) 220-5015
- NPI assigned
- May 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 62320 | FL | Primary |
Addresses
Primary practice location
7124 SW 114TH PL Apt G
Miami, FL 33173-1885
Mailing address
7124 SW 114TH PL Apt G
Miami, FL 33173-1885
Phone (786) 291-1803
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 62320 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B&M Professional Therapeutic Massage Corp. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Miami, FL
- NPI 1356634257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1376836676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7124 SW 114TH PL APT G",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731885",
"telephone_number": "786-291-1803",
"fax_number": "305-220-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7124 SW 114TH PL APT G",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731885",
"telephone_number": "786-291-1803",
"fax_number": "305-220-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "BENIGNO",
"name_prefix": "Mr.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 62320",
"primary": true
}
],
"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 May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.