La Tans, Spa & Medical Aesthetics Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME81585 Issued in FL

Legal business name

LA TANS, SPA & MEDICAL AESTHETICS INC

Practice address

1811 NE 123Rd St
North Miami, FL 33181-2805

Phone

(305) 987-0511

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Xavier Martinez, CPC

Title

Billing Officer

Phone

(305) 987-0511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1295188944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812805",
            "telephone_number": "305-987-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812805",
            "telephone_number": "305-987-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA TANS, SPA & MEDICAL AESTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "305-987-0511",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L & B Solution Care Inc
• L & G and Associates
• La Colonia Medical Center Inc
• La Colonia Wellness Center North Miami LLC
• La Edad Dorada Corp
• Ana Margarita Labiste Portuondo
• Elizabeth Gabriela Laduzinski, M.S.
• Carline Lahens
• Klaus Laleau
• Candice Lalla

• Internal Medicine Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.