Active NPI
Idael Perez, LMT
- Massage Therapist
- Miami, FL
National Provider Identifier
1750417036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA48212
- Practice address
- 5723 SW 3Rd St
Miami, FL 33144-3405 - Phone
- (305) 266-7071
- NPI assigned
- Feb 23, 2007
- 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 | MA48212 | FL | Primary |
Addresses
Primary practice location
5723 SW 3Rd St
Miami, FL 33144-3405
Mailing address
PO Box 611864
North Miami, FL 33261-1864
Phone (786) 380-0992
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 |
|---|---|---|---|
| MA48212 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1750417036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 611864",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "332611864",
"telephone_number": "786-380-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5723 SW 3RD ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331443405",
"telephone_number": "305-266-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "IDAEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA48212",
"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 Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.