Active NPI
Eternal Beauty Corp
- Rehabilitation Hospital Unit
- Hialeah, FL
National Provider Identifier
1215215405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- HCC9185
- Legal business name
- ETERNAL BEAUTY CORP
- Practice address
- 2794 W 68TH St
Suite 103
Hialeah, FL 33016-5407 - Phone
- (305) 827-5148
- Fax
- (305) 827-5418
- NPI assigned
- Jul 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aylin Dulzaides
- Title
- President
- Phone
- (786) 266-8744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | HCC9185 | FL | Primary |
Addresses
Primary practice location
2794 W 68TH St
Suite 103
Hialeah, FL 33016-5407
Mailing address
2794 W 68TH St
Suite 103
Hialeah, FL 33016-5407
Phone (305) 827-5148
National Provider Directory
National Provider DirectoryLocations
2794 W 68th St
Ste 103
Hialeah, FL 33016
Phone (305) 827-5148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311292800000",
"number": "1215215405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2794 W 68TH ST",
"address_2": "SUITE 103",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165407",
"telephone_number": "305-827-5148",
"fax_number": "305-827-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2794 W 68TH ST",
"address_2": "SUITE 103",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165407",
"telephone_number": "305-827-5148",
"fax_number": "305-827-5418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETERNAL BEAUTY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-22",
"status": "A",
"authorized_official_last_name": "DULZAIDES",
"authorized_official_first_name": "AYLIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-266-8744"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "FL",
"license": "HCC9185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.