MR. LEONARD MANUEL LOPEZ DE LA TORRE (NPI# 1104474592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104474592 |
Entity Type | Individual |
Full Name | MR. LEONARD MANUEL LOPEZ DE LA TORRE |
Practice Address |
3709 W Hamilton Ave Ste 4 Tampa FL 33614-4015 |
Mailing Address |
3709 W Hamilton Ave Tampa FL 33614-4015 |
Practice Telephone | 8133744498 |
Mailing Telephone | 8133744498 |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA90945 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3709 W HAMILTON AVE STE 4 |
City | TAMPA |
State | FL |
Zip Code | 33614-4015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407250996 | Pediatric & Adolescent Health Associates, LLC | Pediatrics | 3709 W Hamilton Ave Ste 4, Tampa, FL 33614-4015 | 2014-10-13 |
1922651314 | Treat & Release Ctr Inc | Clinic/Center | 3709 W Hamilton Ave Ste 4, Tampa, FL 33614-4015 | 2019-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
Find all providers in zip 33614 |
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 |
---|---|---|---|---|
1336747047 | Mindy Kurrus | Massage Therapist | 5004 S Macdill Ave Ste A, Tampa, FL 33611-3807 | 2020-10-14 |
1265049852 | Tori Ashworth | Massage Therapist | 13133 N 20th St Apt 101, Tampa, FL 33612-3728 | 2020-09-28 |
1912514829 | Deshara L Wilson | Massage Therapist | 15303 Plantation Oaks Dr Apt 2, Tampa, FL 33647-2147 | 2020-09-24 |
1215543863 | Trevia Nyree Daniels | Massage Therapist | 5212 Bon Vivant Dr Apt 38, Tampa, FL 33603-1842 | 2020-09-18 |
1053926220 | Ained Campos Calderon | Massage Therapist | 8310 Pat Blvd, Tampa, FL 33615-1840 | 2020-09-14 |
1215542063 | Garry Moore | Massage Therapist | 615 N Woodlynne Ave, Tampa, FL 33609-1555 | 2020-09-09 |
1104430081 | Carmen Maria Plasencia | Massage Therapist | 3314 W Woodlawn Ave, Tampa, FL 33607-6630 | 2020-09-08 |
1629682844 | Tamara Soto | Massage Therapist | 10101 Benbrook Ct, Tampa, FL 33615-2641 | 2020-09-04 |
1336753086 | Jessica Jalisia Palmer | Massage Therapist | 6013 N 39th St, Tampa, FL 33610-3730 | 2020-09-01 |
1891309407 | Anthony Martell Brown | Massage Therapist | 14352 N Dale Mabry Hwy, Tampa, FL 33618-2018 | 2020-09-01 |
Find all providers in TAMPA |
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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.