Active NPI
Jesus Emilio Gonzalez, LMT
- Massage Therapist
- Miami, FL
National Provider Identifier
1992000400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61144
- Practice address
- 8660 W Flagler St Ste 203
Miami, FL 33144-2035 - Phone
- (305) 392-0598
- Fax
- (866) 817-4696
- NPI assigned
- Jan 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | MA61144 | FL | Primary |
Addresses
Primary practice location
8660 W Flagler St Ste 203
Miami, FL 33144-2035
Mailing address
6444 SW 40TH St Apt 20
Miami, FL 33155-4869
Phone (786) 444-6082
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 |
|---|---|---|---|
| MA61144 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1992000400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6444 SW 40TH ST APT 20",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554869",
"telephone_number": "786-444-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8660 W FLAGLER ST STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442035",
"telephone_number": "305-392-0598",
"fax_number": "866-817-4696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JESUS",
"middle_name": "EMILIO",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-13",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA61144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.