Active NPI
Danny Heredia
- Massage Therapist
- Bayamon, PR
National Provider Identifier
1992278212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 906
- Practice address
- 100 Ave Laurel
Bayamon, PR 00956-4816 - Phone
- (787) 269-0988
- NPI assigned
- Jan 9, 2019
- 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 | 906 | PR | Primary |
Addresses
Primary practice location
100 Ave Laurel
Bayamon, PR 00956-4816
Mailing address
100 Ave Laurel
Bayamon, PR 00956-4816
Phone (787) 269-0988
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 |
|---|---|---|---|
| 906 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1992278212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 AVE LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564816",
"telephone_number": "787-269-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AVE LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564816",
"telephone_number": "787-269-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEREDIA",
"first_name": "DANNY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-09",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PR",
"license": "906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.