Individual provider Active NPI

Rodrigo Macedo de Queiroz

  • Massage Therapist
  • Boca Raton, FL
National Provider Identifier
1790606200
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
109688 Issued in FL
Practice address
7050 W Palmetto Park Rd Ste 17
Boca Raton, FL 33433-3462
Phone
(561) 368-2111
NPI assigned
Jul 22, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 109688 FL Primary

Addresses

Primary practice location

7050 W Palmetto Park Rd Ste 17
Boca Raton, FL 33433-3462

Mailing address

10 SE 13TH St Apt B1
Boca Raton, FL 33432-7016
Phone (916) 591-5263

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1790606200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SE 13TH ST APT B1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327016",
            "telephone_number": "916-591-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD STE 17",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333462",
            "telephone_number": "561-368-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDO DE QUEIROZ",
        "first_name": "RODRIGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "109688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.