Organization Active NPI

Eden Rejuvenation Aesthetics LLC

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1366274078
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EDEN REJUVENATION AESTHETICS LLC
Practice address
7392 SW 40TH St
Miami, FL 33155-6634
Phone
(786) 528-8585
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Surisaday Rones
Title
Owner
Phone
(786) 651-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

7392 SW 40TH St
Miami, FL 33155-6634

Mailing address

7392 SW 40TH St
Miami, FL 33155-6634
Phone (786) 528-8585

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1366274078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7392 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556634",
            "telephone_number": "786-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556634",
            "telephone_number": "786-528-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN REJUVENATION AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "RONES",
        "authorized_official_first_name": "SURISADAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-651-2442"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "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 Aug 20, 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.