Active NPI
Yunaxi Bruzon
- Massage Therapist
- Miami Lakes, FL
National Provider Identifier
1962972042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA88573
- Practice address
- 15915 NW 57TH Ave
Miami Lakes, FL 33014-6703 - Phone
- (786) 613-7160
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- 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 | MA88573 | FL | Primary |
Addresses
Primary practice location
15915 NW 57TH Ave
Miami Lakes, FL 33014-6703
Mailing address
15915 NW 57TH Ave
Miami Lakes, FL 33014-6703
Phone (786) 613-7160
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 |
|---|---|---|---|
| MA88573 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All in One Specialty Health LLC | Past | Accepting new patients | |
| Physical Therapy Now Holdings, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami Lakes, FL
- NPI 1083069132
-
- Clinic/Center
- Miami, FL
- NPI 1598063521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1962972042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15915 NW 57TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146703",
"telephone_number": "786-613-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15915 NW 57TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146703",
"telephone_number": "786-613-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUZON",
"first_name": "YUNAXI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA88573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.