Active NPI
Carlos Mauricio Ruiz, LMT
- Massage Therapist
- Winter Park, FL
National Provider Identifier
1497648372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA100560
- Practice address
- 1152 Harmon Ave
Winter Park, FL 32789-4994 - Phone
- (407) 927-8903
- NPI assigned
- May 30, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA100560 | FL | Primary |
Addresses
Primary practice location
1152 Harmon Ave
Winter Park, FL 32789-4994
Mailing address
4615 Tiffany Woods Cir
Oviedo, FL 32765-8378
Phone (407) 927-8903
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 |
|---|---|---|---|
| MA100560 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1497648372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 TIFFANY WOODS CIR",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658378",
"telephone_number": "407-927-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1152 HARMON AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894994",
"telephone_number": "407-927-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "CARLOS",
"middle_name": "MAURICIO",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA100560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.