Individual provider Active NPI

Ana Mariela Garcia Lopez, L.M.T.

  • Massage Therapist
  • Palmetto Bay, FL
National Provider Identifier
1457656514
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 51176 Issued in FL
Practice address
16850 SW 92ND CT
Palmetto Bay, FL 33157-4515
Phone
(786) 298-3791
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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 MA 51176 FL Primary

Addresses

Primary practice location

16850 SW 92ND CT
Palmetto Bay, FL 33157-4515

Mailing address

16850 SW 92ND CT
Palmetto Bay, FL 33157-4515
Phone (786) 298-3791

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

LicenseStateTypeSpecialty
MA 51176FLMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1457656514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16850 SW 92ND CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574515",
            "telephone_number": "786-298-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 SW 92ND CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574515",
            "telephone_number": "786-298-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA LOPEZ",
        "first_name": "ANA",
        "middle_name": "MARIELA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 51176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.