Organization Active NPI

Efigie Med Spa LLC

  • Clinical Ethicist
  • Miami, FL
National Provider Identifier
1104756105
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical EthicistTaxonomy code 174V00000X
Legal business name
EFIGIE MED SPA LLC
Practice address
2750 SW 87TH Ave Ste 206
Miami, FL 33165-3264
Phone
(305) 954-1963
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Ricardo Castrellon, MD
Title
Medical Director
Phone
(305) 954-1963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical EthicistGroup: 193200000X MULTI-SPECIALTY GROUP 174V00000X Primary

Addresses

Primary practice location

2750 SW 87TH Ave Ste 206
Miami, FL 33165-3264

Mailing address

2750 SW 87TH Ave Ste 206
Miami, FL 33165-3264
Phone (305) 954-1963

National Provider Directory

National Provider Directory

Locations

2750 SW 87th Ave
Ste 206
Miami, FL 33165
Phone (305) 954-1963

Practitioners & affiliated clinicians

Practitioners 1

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": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1104756105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SW 87TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653264",
            "telephone_number": "305-954-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SW 87TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653264",
            "telephone_number": "305-954-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFIGIE MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "CASTRELLON",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-954-1963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Ethicist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.