Carlos A Lara, MA59353

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA59353 Issued in FL

Practice address

10715 SW 224TH St
Miami, FL 33170-6562

Phone

(786) 488-4696

NPI assigned

Sep 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1972117646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 SW 224TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331706562",
            "telephone_number": "786-488-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 SW 224TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331706562",
            "telephone_number": "786-488-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "MA59353",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA59353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlosalfonsolara@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10715 SW 224th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331706562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yadira Lara Ortega
• Teila Keren Lara Reyna
• Nathaly Lara Suarez
• Annete Lara
• Camilla Marie Lara
• Cristian Lara
• Emily Lara
• Erica Lara
• Isidro Lara, RBT
• Ivet Lara, APRN, FNP-BC

• Massage Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.