Active NPI
Jose M Zulueta, MA
- Massage Therapist
- Hialeah, FL
National Provider Identifier
1891003752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 39065
- Practice address
- 13903 NW 67TH Ave Ste 250
Hialeah, FL 33014-2938 - Phone
- (786) 439-3996
- Fax
- (786) 439-3997
- NPI assigned
- Sep 14, 2010
- Sex
- Male
- Sole proprietor
- No
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 | MA 39065 | FL | Primary |
Addresses
Primary practice location
13903 NW 67TH Ave Ste 250
Hialeah, FL 33014-2938
Mailing address
13903 NW 67TH Ave Ste 250
Hialeah, FL 33014-2938
Phone (786) 439-3996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27 2113636 | Other | FL | MASSAGE THERAPY |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 39065 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1891003752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13903 NW 67TH AVE STE 250",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330142938",
"telephone_number": "786-439-3996",
"fax_number": "786-439-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13903 NW 67TH AVE STE 250",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330142938",
"telephone_number": "786-439-3996",
"fax_number": "786-439-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZULUETA",
"first_name": "JOSE",
"middle_name": "M",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 39065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "27 2113636",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.