NPIMap

Organization Active NPI

Blue Medical Spa & Research Corp

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1467015693
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BLUE MEDICAL SPA & RESEARCH CORP
Practice address
330 SW 27TH Ave Ste 609
Miami, FL 33135-2968
Phone
(786) 479-9599
Fax
(786) 953-6001
NPI assigned
Apr 14, 2019
Last updated
Apr 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2019

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

Authorized official

Name
Mairolys Lorenzo, APRNNPI 1609311380
Title
Owner
Phone
(786) 479-9599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

330 SW 27TH Ave Ste 609
Miami, FL 33135-2968

Mailing address

330 SW 27TH Ave Ste 609
Miami, FL 33135-2968
Phone (786) 479-9599

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1555200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555200000000",
    "number": "1467015693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 609",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352968",
            "telephone_number": "786-479-9599",
            "fax_number": "786-953-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 609",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352968",
            "telephone_number": "786-479-9599",
            "fax_number": "786-953-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MEDICAL SPA & RESEARCH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-14",
        "last_updated": "2019-04-14",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "MAIROLYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-479-9599",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "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 Apr 14, 2019; 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.