SUPERSTAR MEDICAL GROUP, INC (NPI# 1164782231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164782231 |
| Entity Type | Organization |
| Organization Name | SUPERSTAR MEDICAL GROUP, INC |
| Practice Address |
949 Sw 122 Ave Miami FL 33184 |
| Mailing Address |
949 Sw 122nd Ave Miami FL 33184-2406 |
| Practice Telephone | 3052260400 |
| Mailing Telephone | 3052260400 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |
| Authorized Official Name | YELINA ESPINOSA (PRESIDENT) |
| Authorized Official Telephone | 3052260400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60695 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
949 SW 122 AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846606 | Coronado Medical Rehabilitation, Inc | Chiropractor | 949 Sw 122 Ave, Miami, FL 33184 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657867 | Aime Nunez | Behavior Technician | 1205 Sw 136th Place, Miami, FL 33184 | 2020-07-30 |
| 1518575067 | Psych Healing Institute LLC | Community/Behavioral Health | 12542 Sw 8th Street, Miami, FL 33184 | 2020-07-21 |
| 1972139293 | Mavis Mendive De La Torre | Behavior Technician | 13797 Sw 14 St, Miami, FL 33184 | 2020-03-18 |
| 1902376544 | Kenia Roque | Behavior Technician | 11890 Sw 8 St Suite 309, Miami, FL 33184 | 2018-11-27 |
| 1205322179 | Yolaxis Alvarez | Case Manager/Care Coordinator | 931 Sw 122 Ave, Miami, FL 33184 | 2018-07-03 |
| 1265922819 | Expedited Medical Supplies Corp | Durable Medical Equipment & Medical Supplies | 12206 Sw 8th St, Suite 157, Miami, FL 33184 | 2018-05-18 |
| 1144728056 | Liz G San Martin | Nurse Practitioner | 1019 Sw 137th Pl, Miami, FL 33184 | 2018-01-25 |
| 1699280222 | Lourdes Castillo | Behavior Technician | 12015 Sw 14th St, Suite 310c, Miami, FL 33184 | 2017-12-05 |
| 1972014892 | Lisandra Lastra | Behavior Technician | 13803 Sw 9th St, Miami, FL 33184 | 2017-10-18 |
| 1265941991 | Ileana Beltran | Behavior Technician | 12010 Sw 2nd St, Miami, FL 33184 | 2017-09-26 |
| Find all providers in zip 33184 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254785 | Rigoberto Rosa | Massage Therapist | 51 Ne 24th St, Miami, FL 33137-5385 | 2020-10-27 |
| 1801495346 | Nina Villalonga | Massage Therapist | 7924 Sw 19th St, Miami, FL 33155-1334 | 2020-10-24 |
| 1275131641 | Kaylee Sofia Nieves | Massage Therapist | 265 Ne 53rd St Apt 3, Miami, FL 33137-2839 | 2020-10-16 |
| 1346848587 | Guirlande Joseph | Massage Therapist | 173 Nw 39th St, Miami, FL 33127-2911 | 2020-10-10 |
| 1851908420 | Joannet Hassan | Massage Therapist | 3401 Nw 17th Ave Apt 809, Miami, FL 33142-5619 | 2020-09-28 |
| 1487260873 | Shane Magdaleno | Massage Therapist | 4501 Sw 113th Ave, Miami, FL 33165-5567 | 2020-09-21 |
| 1164037198 | Yaremis Sarraff | Massage Therapist | 2433 Sw 112th Ct, Miami, FL 33165-2248 | 2020-09-15 |
| 1275148710 | Alejandro Manuel Garcia | Massage Therapist | 8735 Sw 113th Ct, Miami, FL 33173-4233 | 2020-09-11 |
| 1548875073 | Kimani Cooke | Massage Therapist | 9945 Sw 155th St, Miami, FL 33157-1638 | 2020-09-11 |
| 1609481423 | Tamika Gayle | Massage Therapist | 21471 San Simeon Way Bldg 14-111, Miami, FL 33179-2155 | 2020-09-09 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.