Andreina Martinez, LICENCES MASSAGE THE

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA52213 Issued in FL

Practice address

570 Ocean Drive # 501
Holistic Massage and Wellness Clinics
Juno Beach, FL 33408

Phone

(954) 491-2225

Fax

(954) 491-6862

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Massage & Wellness Clinics

  • Massage Therapist
  • Fort Lauderdale, FL
  • NPI 1578694915
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1992973390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NE 163RD ST APT 7",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 OCEAN DRIVE # 501",
            "address_2": "HOLISTIC MASSAGE AND WELLNESS CLINICS",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "954-491-2225",
            "fax_number": "954-491-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANDREINA",
        "name_prefix": "Mrs.",
        "credential": "LICENCES MASSAGE THE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA52213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT LICENSE",
            "identifier": "MA52213",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Prado Maldonado
• Roel Crisostomo Mangaoang
• Allison J Manis, D.C.
• Cara E Marcello
• Mark a Kuhl DMD PA
• Lauren Ashley Martinez
• Manesh Mathew
• Mendell Family Dentistry
• Seth Mendell, DDS
• Leslie Anne Menghi-Parzygnat, RN

• Massage Therapist in Juno Beach, FL
• Providers in Juno Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.