Individual
LUIS ALBERTO FUGUEROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8340 NW 103RD ST APT 205, HIALEAH, FL 33016-4660
(786) 303-3898
Mailing address
8340 NW 103RD ST APT 205, HIALEAH, FL 33016-4660
(786) 303-3898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA-41535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA-41535
FLORIDA LICENSE MASSAGE THERAPY
FL
Enumeration date
09/12/2008
Last updated
09/12/2008
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