Jorge Luis Simon, MA63525

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA63525 Issued in FL

Practice address

13414 SW 22ND Ter
Miami, FL 33175-1138

Phone

(786) 366-6695

Fax

(786) 401-7646

NPI assigned

Feb 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1851665491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13414 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751138",
            "telephone_number": "786-366-6695",
            "fax_number": "786-401-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13414 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751138",
            "telephone_number": "786-366-6695",
            "fax_number": "786-401-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "MA63525",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA63525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Simon Mengana
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• Bernadette Simon, BS
• Esther Simon, RBT
• Ingrid Simon, DMD
• Juan A Simon, MD
• Julio Christopher Simon, PHARMD
• Laurane Simon, MPA
• Lourdes Simon
• Monica Del Carmen Simon, SLP

• Massage Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.