Individual provider Active NPI

Federico Cardenas Jimenez

  • Massage Therapist
  • Orlando, FL
National Provider Identifier
1962182303
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA102724 Issued in FL
Practice address
1610 S Crystal Lake Dr Apt 75
Orlando, FL 32806-8805
Phone
(239) 747-3284
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA102724 FL Primary

Addresses

Primary practice location

1610 S Crystal Lake Dr Apt 75
Orlando, FL 32806-8805

Mailing address

1610 S Crystal Lake Dr Apt 75
Orlando, FL 32806-8805
Phone (239) 747-3284

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
MA102724FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1962182303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S CRYSTAL LAKE DR APT 75",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068805",
            "telephone_number": "239-747-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S CRYSTAL LAKE DR APT 75",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068805",
            "telephone_number": "239-747-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS JIMENEZ",
        "first_name": "FEDERICO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA102724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.