Individual provider Active NPI

Lucimara Puglielli De Mello

  • Massage Therapist
  • North Miami, FL
National Provider Identifier
1821885203
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1066388 Issued in FL
Practice address
1470 NE 123Rd St Apt PH16
North Miami, FL 33161-6033
Phone
(786) 898-2930
NPI assigned
Apr 21, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 1066388 FL Primary

Addresses

Primary practice location

1470 NE 123Rd St Apt PH16
North Miami, FL 33161-6033

Mailing address

1470 NE 123Rd St Apt PH16
North Miami, FL 33161-6033
Phone (786) 898-2930

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

LicenseStateTypeSpecialty
1066388FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1821885203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 NE 123RD ST APT PH16",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331616033",
            "telephone_number": "786-898-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 NE 123RD ST APT PH16",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331616033",
            "telephone_number": "786-898-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MELLO",
        "first_name": "LUCIMARA",
        "middle_name": "PUGLIELLI",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "1066388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.