Individual provider Active NPI

Ivan Mauricio Giraldo, L.M.T.

  • Contractor
  • West Palm Beach, FL
National Provider Identifier
1962658351
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MA23533 Issued in FL
Practice address
2072 S Military TRL
Suite # 4
West Palm Beach, FL 33415-6419
Phone
(561) 281-5522
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MA23533 FL Primary

Addresses

Primary practice location

2072 S Military TRL
Suite # 4
West Palm Beach, FL 33415-6419

Mailing address

2072 S Military TRL
Suite # 4
West Palm Beach, FL 33415-6419
Phone (561) 281-5522

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
MA23533FLMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1962658351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 S MILITARY TRL",
            "address_2": "SUITE # 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334156419",
            "telephone_number": "561-281-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 S MILITARY TRL",
            "address_2": "SUITE # 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334156419",
            "telephone_number": "561-281-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALDO",
        "first_name": "IVAN",
        "middle_name": "MAURICIO",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA23533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.