Active NPI
Jose Pajon-Roure
- Massage Therapist
- Pembroke Pines, FL
National Provider Identifier
1477844694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA53130
- Practice address
- 8800 NW 15TH CT
Pembroke Pines, FL 33024-4727 - Phone
- (786) 333-9002
- NPI assigned
- Apr 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA53130 | FL | |
| Massage Therapist | 225700000X | MA53130 | FL | Primary |
Addresses
Primary practice location
8800 NW 15TH CT
Pembroke Pines, FL 33024-4727
Mailing address
8800 NW 15TH CT
Pembroke Pines, FL 33024-4727
Phone (786) 333-9002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA53130 | Other | FL | LICENSE NO |
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 |
|---|---|---|---|
| MA53130 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1477844694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 NW 15TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330244727",
"telephone_number": "786-333-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 NW 15TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330244727",
"telephone_number": "786-333-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAJON-ROURE",
"first_name": "JOSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-21",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA53130",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA53130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO",
"identifier": "MA53130",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.