Provider Demographics
NPI:1861870107
Name:LESMES, PILAR
Entity type:Individual
Prefix:
First Name:PILAR
Middle Name:
Last Name:LESMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19390 COLLINS AVE
Mailing Address - Street 2:808
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2200
Mailing Address - Country:US
Mailing Address - Phone:786-202-5354
Mailing Address - Fax:
Practice Address - Street 1:19390 COLLINS AVE
Practice Address - Street 2:808
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-2200
Practice Address - Country:US
Practice Address - Phone:786-202-5354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA68565225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist