Individual provider Active NPI

Juan Manuel Ruiz Sr., MASSAGE THERAPIST

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1487886149
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA39289 Issued in FL
Practice address
2001 NW 7TH St
Suite 105
Miami, FL 33125-3479
Phone
(786) 210-7857
Fax
(305) 229-9169
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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 MA39289 FL Primary

Addresses

Primary practice location

2001 NW 7TH St
Suite 105
Miami, FL 33125-3479

Mailing address

2001 NW 7TH St
Suite 105
Miami, FL 33125-3479
Phone (786) 210-7857

Other identifiers 1

IdentifierTypeStateIssuer
MA39289OtherFLINSURANCE

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
MA39289FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Ruiz Massage Rehabilitation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1487886149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 NW 7TH ST",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253479",
            "telephone_number": "786-210-7857",
            "fax_number": "305-229-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NW 7TH ST",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253479",
            "telephone_number": "786-210-7857",
            "fax_number": "305-229-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA39289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "MA39289",
            "state": "FL"
        }
    ],
    "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 Aug 13, 2009; 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.