Doctor Name: | MS. AUREA CARMELA MONDRAGON |
NPI Number: | 1649235227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASSAGE THERAPIST |
License Number: | MA 9219 |
Business Practice Address: | 6341 Sunset Dr South Miami, FL - 331434842 |
Business Phone Number: | 3056625924 |
Business Fax Number: | 3056634442 |
Mailing Address: | 4400 Sw 115th Ave, MIAMI |
State: | FL |
Postal Code: | 331655526 |
Phone Number: | 3055544460 |
Fax Number: | 3056634442 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 9219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |