Active NPI
Maykel Hernandez Acosta, MASSAGE THERAPIST
- Physical Therapy Clinic/Center
- Doral, FL
National Provider Identifier
1669789988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- MA58826
- Practice address
- 8045 NW 36TH St
Doral, FL 33166-6627 - Phone
- (305) 594-1757
- Fax
- (305) 594-9781
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MA58826 | FL | Primary |
Addresses
Primary practice location
8045 NW 36TH St
Doral, FL 33166-6627
Mailing address
8045 NW 36TH St
Doral, FL 33166-6627
Phone (305) 594-1757
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 |
|---|---|---|---|
| MA58826 | FL | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mixter General Practice Corp | Physical Therapy | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1669789988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 NW 36TH ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331666627",
"telephone_number": "305-594-1757",
"fax_number": "305-594-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 NW 36TH ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331666627",
"telephone_number": "305-594-1757",
"fax_number": "305-594-9781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ ACOSTA",
"first_name": "MAYKEL",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "MA58826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.