Active NPI
Lazaro Jesus Valdes
- Massage Therapist
- West Palm Beach, FL
National Provider Identifier
1720396047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA59521
- Practice address
- 4935 Okeechobee Blvd
West Palm Beach, FL 33417-4629 - Phone
- (561) 682-9383
- NPI assigned
- Sep 21, 2010
- 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 | MA59521 | FL | Primary |
Addresses
Primary practice location
4935 Okeechobee Blvd
West Palm Beach, FL 33417-4629
Mailing address
203 Foxtail Dr Apt B3
Greenacres, FL 33415-6001
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 |
|---|---|---|---|
| MA59521 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehab & Medical Center of West Palm Beach | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- West Palm Beach, FL
- NPI 1972789964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1720396047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 FOXTAIL DR APT B3",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334156001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 OKEECHOBEE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334174629",
"telephone_number": "561-682-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDES",
"first_name": "LAZARO",
"middle_name": "JESUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-21",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA59521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.