Miracle Massage & Therapy Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MM24538 Issued in FL

Legal business name

MIRACLE MASSAGE & THERAPY CENTER, INC

Practice address

13260 Immokalee Rd Ste 2
Naples, FL 34120-1788

Phone

(239) 692-8591

Fax

(239) 692-8594

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Diana Morales, LMT

Title

Owner

Phone

(239) 692-8591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1710201785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 IMMOKALEE RD STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201788",
            "telephone_number": "239-692-8591",
            "fax_number": "239-692-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 IMMOKALEE RD STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201788",
            "telephone_number": "239-692-8591",
            "fax_number": "239-692-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MASSAGE & THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-692-8591",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM24538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Sophia Minor, AGACNP-BC
• Kathleen A Minott, CRNA
• Yaneisleidys Mirabal Perez, RBT-22-204998
• Kristina Leslie Mirabeau-Beale, M.D.
• Joseph Mirabella, LMHC
• Diana Carolina Miranda-Hannigan, M.D.
• Claudia Miranda, MD
• Kayla Miranda, APRN
• Ronna Miranda, OTR
• Shanna M Miranti, P.A.

• Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Clinic/Center in Florida

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

Verify at the official NPI Registry.