Organization Active NPI

Vita RN, LLC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1215778683
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITA RN, LLC
Practice address
13205 SW 137TH Ave Ste 204
Miami, FL 33186-5334
Phone
(786) 548-9787
Fax
(305) 735-3599
NPI assigned
Jun 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
Jocelyn Luquez, APRN FNP-CNPI 1164142014
Title
Owner
Phone
(786) 548-9787

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

13205 SW 137TH Ave Ste 204
Miami, FL 33186-5334

Mailing address

13205 SW 137TH Ave Ste 204
Miami, FL 33186-5334
Phone (786) 548-9787

Other names 1

  • Glow Medspa Miami Doing business as

National Provider Directory

National Provider Directory

Locations

13205 SW 137th Ave
Ste 204
Miami, FL 33186
Phone (305) 827-5076

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": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1215778683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865334",
            "telephone_number": "786-548-9787",
            "fax_number": "305-735-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865334",
            "telephone_number": "786-548-9787",
            "fax_number": "305-735-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA RN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "LUQUEZ",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-548-9787",
        "authorized_official_credential": "APRN FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glow Medspa Miami",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 1, 2024; 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.