Organization Active NPI

Miami Aesthetics Inc

  • Internal Medicine Physician
  • Miami Shores, FL
National Provider Identifier
1073700670
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8226 Issued in FL
Legal business name
MIAMI AESTHETICS INC
Practice address
9420 Park Dr
Miami Shores, FL 33138-2744
Phone
(305) 756-7898
Fax
(305) 756-7898
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Maria Diaz, DO PHARMDNPI 1851383913
Title
D.O.
Phone
(305) 756-7899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PS27564 FL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X OS8226 FL Primary

Addresses

Primary practice location

9420 Park Dr
Miami Shores, FL 33138-2744

Mailing address

9420 Park Dr
Miami Shores, FL 33138-2744
Phone (305) 756-7898

Other identifiers 2

IdentifierTypeStateIssuer
262657800MedicaidFL
K5246OtherFLMEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001413 FL Part B Supplier - Clinic/Group Practice 5092708990 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Shores, FL

National Provider Directory

National Provider Directory

Locations

9420 Park Dr
#D
Miami Shores, FL 33138
Phone (305) 756-7899

9420 Park Dr
Miami Shores, FL 33138
Phone (305) 756-7899

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1073700670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382744",
            "telephone_number": "305-756-7898",
            "fax_number": "305-756-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382744",
            "telephone_number": "305-756-7898",
            "fax_number": "305-756-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI AESTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "305-756-7899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27564",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262657800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "K5246",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.