Active NPI
Pedro Vega Enamorado, MA
- Massage Therapist
- Cutler Bay, FL
National Provider Identifier
1396063483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA56236
- Practice address
- 9180 SW 203Rd Ter
Cutler Bay, FL 33189-1855 - Phone
- (786) 389-6003
- Fax
- (305) 253-6193
- NPI assigned
- May 13, 2010
- Last updated
- Feb 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 | MA56236 | FL | Primary |
Addresses
Primary practice location
9180 SW 203Rd Ter
Cutler Bay, FL 33189-1855
Mailing address
9180 SW 203Rd Ter
Cutler Bay, FL 33189-1855
Phone (786) 389-6003
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA56236 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1396063483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 SW 203RD TER",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331891855",
"telephone_number": "786-389-6003",
"fax_number": "305-253-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 SW 203RD TER",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331891855",
"telephone_number": "786-389-6003",
"fax_number": "305-253-6193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA ENAMORADO",
"first_name": "PEDRO",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA56236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.