Individual provider Active NPI

Roberto Del Pino Flores, MT

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1386918738
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA62175 Issued in FL
Practice address
8524 SW 40TH St
Miami, FL 33155-3214
Phone
(305) 207-9510
Fax
(305) 207-9511
NPI assigned
Mar 2, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA62175 FL Primary

Addresses

Primary practice location

8524 SW 40TH St
Miami, FL 33155-3214

Mailing address

8524 SW 40TH St
Miami, FL 33155-3214
Phone (305) 207-9510

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MA62175FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Therapy Center & Spa, 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, 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": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1386918738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553214",
            "telephone_number": "305-207-9510",
            "fax_number": "305-207-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553214",
            "telephone_number": "305-207-9510",
            "fax_number": "305-207-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL PINO FLORES",
        "first_name": "ROBERTO",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA62175",
            "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 Mar 6, 2012; 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.