Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarivel Bacallao

Individual provider Massage Therapist · NPI 1386917813

Clarivel Bacallao is a Massage Therapist in Hialeah, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

5911 W 21st Ct
Hialeah, FL 33016-2634
Phone: (786) 624-0048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA 66419 (FL)

Record details

NPI number1386917813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 14, 2012
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address5911 W 21st Ct, Hialeah, FL 33016-2634

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