Med Spa & Rehabilitation Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MED SPA & REHABILITATION CENTER

Practice address

4800 W Flagler St
Suite 103
Coral Gables, FL 33134-1446

Phone

(305) 443-1172

Fax

(305) 442-2816

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel R Ronchetta, M.D

Title

President

Phone

(305) 443-1172

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1477995975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W FLAGLER ST",
            "address_2": "SUITE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341446",
            "telephone_number": "305-443-1172",
            "fax_number": "305-442-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W FLAGLER ST",
            "address_2": "SUITE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341446",
            "telephone_number": "305-443-1172",
            "fax_number": "305-442-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SPA & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "RONCHETTA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-443-1172",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME33465",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MD on the Go LLC
• MD Spas
• Mdspas Inc
• William R Means, DMD
• Med Equip of West Dade, Inc.
• Med Spa & Rehabilitation Center Corp
• Med-Spa Soltion Inc
• Daniela Medellin
• Isabel Mederos
• Jeily Mederos, CBHCM

• Primary Care Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.