Essential Massage & Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT130039 Issued in TX

Legal business name

ESSENTIAL MASSAGE & SPA

Practice address

524 E Los Ebanos Blvd
Brownsville, TX 78520-8433

Phone

(956) 465-4082

Fax

(956) 465-4821

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Joseph Modesto

Title

Administrator

Phone

(956) 465-4082

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1467938126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 BRASILIA",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261229",
            "telephone_number": "956-336-7466",
            "fax_number": "956-465-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208433",
            "telephone_number": "956-465-4082",
            "fax_number": "956-465-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL MASSAGE & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "MODESTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-465-4082"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT130039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDLR",
            "identifier": "MT130039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marivel Espinoza, APRN
• Miguel A. Espinoza, LPC
• Miguel Angel Espinoza, CST/CSFA
• Linda Veronica Esquibel, PNP
• Cassandra Esquivel
• Hazel Estacio, APRN, CCM
• Daniel Estrada, SLPA
• Karina Estrada, MSN, APRN, FNP
• Nelly C Estrada, PA-C
• David Anthony Estringel, LCSW

• Massage Therapist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.