Active NPI
Roberto Lopez, MA
- Massage Therapist
- Estero, FL
National Provider Identifier
1427225259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA45169
- Practice address
- 10733 Bahia Terrado Cir
Estero, FL 33928-2468 - Phone
- (239) 898-4801
- NPI assigned
- May 12, 2008
- Last updated
- May 12, 2008
- 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 | MA45169 | FL | Primary |
Addresses
Primary practice location
10733 Bahia Terrado Cir
Estero, FL 33928-2468
Mailing address
10733 Bahia Terrado Cir
Estero, FL 33928-2468
Phone (239) 898-4801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA45169 | Other | FL | LICENCE NUMBER |
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 |
|---|---|---|---|
| MA45169 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1427225259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10733 BAHIA TERRADO CIR",
"city": "ESTERO",
"state": "FL",
"postal_code": "339282468",
"telephone_number": "239-898-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10733 BAHIA TERRADO CIR",
"city": "ESTERO",
"state": "FL",
"postal_code": "339282468",
"telephone_number": "239-898-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ROBERTO",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA45169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE NUMBER",
"identifier": "MA45169",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Estero, FL
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- Elizabeth A Lunsford, IBCLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.