Individual provider Active NPI

Douglas Jose Quintana

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1730690447
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA68735 Issued in FL
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

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
MA68735FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Miami Pro Inc Single Specialty PastSince Aug 1, 2025 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

Verify at the official NPI Registry.