Emanuel Therapeutic Massage Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

MA-63278 Issued in FL

Legal business name

EMANUEL THERAPEUTIC MASSAGE INC

Practice address

1035 E 4TH Ave
Hialeah, FL 33010-4103

Phone

(305) 885-3239

Fax

(305) 888-0264

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Iieana D Lozano

Title

President

Phone

(305) 885-3239

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1649555830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-885-3239",
            "fax_number": "305-888-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-885-3239",
            "fax_number": "305-888-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL THERAPEUTIC MASSAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "IIEANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-885-3239",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MA-63278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.