Kristen Monique De la Rua, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA41588 Issued in FL

Practice address

7600 SW 57TH Ave Ste 304
South Miami, FL 33143-5427

Phone

(305) 663-3370

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1982241972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 NE 64TH ST APT 6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331386149",
            "telephone_number": "305-975-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 57TH AVE STE 304",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435427",
            "telephone_number": "305-663-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA RUA",
        "first_name": "KRISTEN",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA41588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel De la Cruz Seoane
• Javier De la Fuente Balboa, DMD
• Adriel De la Paz
• Mariano De la Riva, D.D.S.
• Zoany De la Rosa, DDS
• Rafael Antonio De la Vega, MD
• Brady De Las Nueces, MD
• Carmen Luz De Lerma, M.D.
• Debbie Leiter RPT PA
• Debra G Kenward MD PA

• Massage Therapist in South Miami, FL
• Providers in South 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 Dec 9, 2019; 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.