Active NPI
Sergio Gil
- Massage Therapist
- Miami, FL
National Provider Identifier
1932484441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA56328
- Practice address
- 2460 SW 137TH Ave, Suite 248
Miami, FL 33175 - Phone
- (305) 223-0188
- NPI assigned
- Oct 15, 2011
- 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 | MA56328 | FL | Primary |
Addresses
Primary practice location
2460 SW 137TH Ave, Suite 248
Miami, FL 33175
Mailing address
10027 W. Okeechobee Rd., Apt 202
Hialeah, FL 33016
Phone (305) 458-2964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972810711 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA56328 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1932484441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10027 W. OKEECHOBEE RD., APT 202",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33016",
"telephone_number": "305-458-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 SW 137TH AVE, SUITE 248",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "305-223-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIL",
"first_name": "SERGIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA56328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "1972810711",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}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 Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.