Active NPI
Tessie Mestre
- Athletic Trainer
- Coral Gables, FL
National Provider Identifier
1629474804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL1068
- Practice address
- 1150 Campo Sano Ave
Suite 200
Coral Gables, FL 33146-1174 - Phone
- (786) 268-6206
- NPI assigned
- Nov 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL1068 | FL | Primary |
Addresses
Primary practice location
1150 Campo Sano Ave
Suite 200
Coral Gables, FL 33146-1174
Mailing address
10445 SW 22ND St
Miami, FL 33165-7911
Phone (786) 268-6206
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 |
|---|---|---|---|
| AL1068 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1629474804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10445 SW 22ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657911",
"telephone_number": "786-268-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 CAMPO SANO AVE",
"address_2": "SUITE 200",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461174",
"telephone_number": "786-268-6206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESTRE",
"first_name": "TESSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-14",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL1068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.