Sobella Aesthetics and Wellness

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

SOBELLA AESTHETICS AND WELLNESS

Practice address

3905 NW 107TH Ave Ste 409
Doral, FL 33178-2785

Phone

(178) 692-5849

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Yuleima Placencia Gonzalez, AUTONOMOUS APRNNPI 1720555121

Title

Nurse Practitioner

Phone

(786) 925-8495

Specialties & licenses 1

Addresses

Other names 1

• SoBella Aesthetics and Wellness Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yuleima Placencia Gonzalez, APRN

  • Primary Care Nurse Practitioner
  • Doral, FL
  • NPI 1720555121
  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1457110454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NW 107TH AVE STE 409",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782785",
            "telephone_number": "786-925-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NW 107TH AVE STE 409",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782785",
            "telephone_number": "178-692-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBELLA AESTHETICS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "PLACENCIA GONZALEZ",
        "authorized_official_first_name": "YULEIMA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-925-8495",
        "authorized_official_credential": "AUTONOMOUS APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoBella Aesthetics and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Primary Care Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.