Active NPI
Miguelina Mateo-Puello, PT
- Physical Therapist
- Miami, FL
National Provider Identifier
1487112470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34223
- Practice address
- 10570 SW 8TH St
Miami, FL 33174-2612 - Phone
- (305) 222-1892
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34223 | FL | Primary |
Addresses
Primary practice location
10570 SW 8TH St
Miami, FL 33174-2612
Mailing address
1730 N Nicholas St
Appleton, WI 54914-2538
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 |
|---|---|---|---|
| 34223 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1487112470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 N NICHOLAS ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549142538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10570 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331742612",
"telephone_number": "305-222-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEO-PUELLO",
"first_name": "MIGUELINA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "34223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.