Individual provider Active NPI

Dianelis Lopez Reyes I

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1912742602
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
17 E 13TH St Apt 1
8300 W Flagler St Suite 254 C
Miami, FL 33144
Phone
(786) 801-0107
Fax
(786) 860-5159
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA102124 FL
Massage Therapist 225700000X Primary

Addresses

Primary practice location

17 E 13TH St Apt 1
8300 W Flagler St Suite 254 C
Miami, FL 33144

Mailing address

8300 W Flagler St Ste 254C
Miami, FL 33144-6002
Phone (786) 801-0107

Other names 1

  • Dianelis Lopez Reyes Other name

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
MA102124FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1912742602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W FLAGLER ST STE 254C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331446002",
            "telephone_number": "786-801-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 13TH ST APT 1",
            "address_2": "8300 W FLAGLER ST SUITE 254 C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33144",
            "telephone_number": "786-801-0107",
            "fax_number": "786-860-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ REYES",
        "first_name": "DIANELIS",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA102124",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANELIS",
            "last_name": "LOPEZ REYES",
            "credential": "MA THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.