Miracle Angels Med Spa, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIRACLE ANGELS MED SPA, LLC

Practice address

14201 SW 120TH St Ste 205
Miami, FL 33186-7663

Phone

(305) 281-2494

Fax

(305) 675-5960

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Yamilka Poujaud Rodriguez, APRN

Title

Owner

Phone

(305) 281-2494

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1457024994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 SW 120TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867663",
            "telephone_number": "305-281-2494",
            "fax_number": "305-675-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 SW 120TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867663",
            "telephone_number": "305-281-2494",
            "fax_number": "305-675-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE ANGELS MED SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "POUJAUD RODRIGUEZ",
        "authorized_official_first_name": "YAMILKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-281-2494",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaale Mirabal
• Yarenia Mirabal, RBT-23-283785
• Niurka Mirabet Lazo
• Miracle and Behavior Miami LLC
• Miracle Angels Med
• Miracle Behavior Corp
• Miracle Community Behavioral Center Corp
• Miracle Ear
• Miracle Group Rehabilitation Center Inc
• Miracle Health Services Inc

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.