Active NPI
Juan H Fernandez, MA
- Massage Therapist
- Miami, FL
National Provider Identifier
1679815518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61056
- Practice address
- 5809 SW 41St St
Miami, FL 33155-5307 - Phone
- (786) 399-2788
- Fax
- (786) 464-0624
- NPI assigned
- Mar 18, 2013
- Last updated
- Mar 18, 2013
- 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 | MA61056 | FL | Primary |
Addresses
Primary practice location
5809 SW 41St St
Miami, FL 33155-5307
Mailing address
5809 SW 41St St
Miami, FL 33155-5307
Phone (786) 399-2788
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61056 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1679815518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5809 SW 41ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555307",
"telephone_number": "786-399-2788",
"fax_number": "786-464-0624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5809 SW 41ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555307",
"telephone_number": "786-399-2788",
"fax_number": "786-464-0624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "JUAN",
"middle_name": "H",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-18",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA61056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.