Active NPI
Douglas Jose Quintana
- Massage Therapist
- Miami, FL
National Provider Identifier
1730690447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA68735
- Practice address
- 8315 W Flagler St Ste 27
Miami, FL 33144-2029 - Phone
- (786) 973-0167
- NPI assigned
- Oct 20, 2017
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA68735 | FL | Primary |
Addresses
Primary practice location
8315 W Flagler St Ste 27
Miami, FL 33144-2029
Mailing address
9331 SW 4TH St Apt 120
Miami, FL 33174-2229
Phone (786) 973-0167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
175 Fontainebleau Blvd
Miami, FL 33172-4511
2676 SW 10TH St
Homestead, FL 33035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA68735 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Miami Pro Inc | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508457600000",
"number": "1730690447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9331 SW 4TH ST APT 120",
"city": "MIAMI",
"state": "FL",
"postal_code": "331742229",
"telephone_number": "786-973-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8315 W FLAGLER ST STE 27",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442029",
"telephone_number": "786-973-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "DOUGLAS",
"middle_name": "JOSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-20",
"last_updated": "2017-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA68735",
"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 Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.