Organization Active NPI

Blue D Class Medspa & Therapy Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1417721325
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUE D CLASS MEDSPA & THERAPY INC
Practice address
3009 NW 7 Street
Miami, FL 33125-4203
Phone
(786) 963-5892
Fax
(305) 489-6456
NPI assigned
Nov 10, 2023
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Yoandra RodriguezNPI 1982960886
Title
President
Phone
(786) 963-5892

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Physical Therapy Clinic/Center 261QP2000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3009 NW 7 Street
Miami, FL 33125-4203

Mailing address

3009 NW 7 Street
Miami, FL 33125-4203
Phone (786) 963-5892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251011000640 FL Part B Supplier - Clinic/Group Practice 7012404312 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Blue D Class Health Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3011 NW 7th St
Miami, FL 33125

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1417721325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 NW 7 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254203",
            "telephone_number": "786-963-5892",
            "fax_number": "305-489-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 NW 7 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254203",
            "telephone_number": "786-963-5892",
            "fax_number": "305-489-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE D CLASS MEDSPA & THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YOANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-963-5892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.