Active NPI
Maite Reyes
- Massage Therapist
- Hialeah, FL
National Provider Identifier
1417640368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA98014
- Practice address
- 290 E 46TH St
Hialeah, FL 33013-1836 - Phone
- (786) 484-5587
- NPI assigned
- May 26, 2023
- Sex
- Female
- 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 | MA98014 | FL | Primary |
Addresses
Primary practice location
290 E 46TH St
Hialeah, FL 33013-1836
Mailing address
290 E 46TH St
Hialeah, FL 33013-1836
Phone (786) 484-5587
Other names 1
- Maite Reyes
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 |
|---|---|---|---|
| MA98014 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1417640368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 E 46TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131836",
"telephone_number": "786-484-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 E 46TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131836",
"telephone_number": "786-484-5587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MAITE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA98014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAITE",
"last_name": "REYES",
"code": "1",
"type": "Former Name"
}
]
}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 May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.