Active NPI
Alfredo Mirabal, LMT
- Massage Therapist
- Boynton Beach, FL
National Provider Identifier
1851525596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0019176
- Practice address
- 4748 N Congress Ave
Boynton Beach, FL 33426-7951 - Phone
- (561) 642-6118
- NPI assigned
- May 10, 2009
- 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 | MA0019176 | FL | Primary |
Addresses
Primary practice location
4748 N Congress Ave
Boynton Beach, FL 33426-7951
Mailing address
4706 Lucerne Lakes Blvd E
Lake Worth, FL 33467-8875
Phone (561) 201-4345
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 |
|---|---|---|---|
| MA0019176 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Health & Wellness Inc | Past | Accepting new patients | |
| Boynton Health & Wellness PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Boynton Beach, FL
- NPI 1215102504
-
- Multi-Specialty Clinic/Center
- West Palm Beach, FL
- NPI 1437347176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241913600000",
"number": "1851525596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4706 LUCERNE LAKES BLVD E",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334678875",
"telephone_number": "561-201-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4748 N CONGRESS AVE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334267951",
"telephone_number": "561-642-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRABAL",
"first_name": "ALFREDO",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-10",
"last_updated": "2009-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA0019176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.