Active NPI
Ivan Cardenas, LMT
- Massage Therapist
- Miami Lakes, FL
National Provider Identifier
1730960584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA83910
- Practice address
- 7779 NW 146TH St Ste 4
Miami Lakes, FL 33016-1559 - Phone
- (786) 438-2554
- NPI assigned
- Oct 9, 2023
- 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 | MA83910 | FL | Primary |
Addresses
Primary practice location
7779 NW 146TH St Ste 4
Miami Lakes, FL 33016-1559
Mailing address
7779 NW 146TH St Ste 4
Miami Lakes, FL 33016-1559
Phone (786) 438-2554
Other names 1
- Ivan Cardenas
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 |
|---|---|---|---|
| MA83910 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1730960584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7779 NW 146TH ST STE 4",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161559",
"telephone_number": "786-438-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7779 NW 146TH ST STE 4",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161559",
"telephone_number": "786-438-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "IVAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA83910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IVAN",
"last_name": "CARDENAS",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.