Koreme Anti-Aging & Medical Group

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KOREME ANTI-AGING & MEDICAL GROUP

Practice address

6917 Collins Ave Apt 426
Miami Beach, FL 33141-7205

Phone

(305) 992-4181

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Guillermo Patino

Title

Manager

Phone

(863) 953-6567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1497441935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 COLLINS AVE APT 426",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331417205",
            "telephone_number": "305-992-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 COLLINS AVE APT 426",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331417205",
            "telephone_number": "305-992-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREME ANTI-AGING & MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-953-6567"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noam Yeshaya Koenigsberg
• Maria Kolesova
• Teresa Koliha, RN
• Michelle Koo, DPM
• Jay Joseph Kopf, DDS
• Brad Koschel, D.O.
• Ava Kotch, PSY.D.
• Cristina Myriam Kovacich I, RBT
• Bella Claudine Kramer-Padeh
• Danielle Brooke Kramer, M.D.

• Health Service Clinic/Center in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.