Body Align Structural Massage Health for Wellness CSP

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

142 Issued in PR

Legal business name

BODY ALIGN STRUCTURAL MASSAGE HEALTH FOR WELLNESS CSP

Practice address

Carr 110 KM 4.9 Int Bo Aguacate
Aguadilla, PR 00603

Phone

(787) 238-7909

Fax

(787) 238-7909

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Eddie N FelicianoNPI 1356664726

Title

Secretary

Phone

(787) 238-7909

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eddie Nelson Feliciano, M. T

  • Massage Therapist
  • Aguadilla, PR
  • NPI 1356664726
  NPD Authorized official

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1497268908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 39597",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039220",
            "telephone_number": "787-238-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 110 KM 4.9 INT BO AGUACATE",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-238-7909",
            "fax_number": "787-238-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY ALIGN STRUCTURAL MASSAGE HEALTH FOR WELLNESS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-238-7909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "PR",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1356664726",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Aguadilla, Inc.
• Marien Blanco, D.M.D
• Luis Angel Blay, DMD
• Elba Blazquez
• Liz Bobe, MT
• Aimee Jeannette Boglio
• Joanne Louise Bohn, DC
• Carla Marie Bonaparte, D.D.S.
• Jenelle Bonilla Perez, MD
• Iris Marta Bonilla, RN

• All providers in Aguadilla, PR
• Sports Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.