Organization Active NPI

Harley'S Intra Beauty Wellness Solutions LLC

  • Family Nurse Practitioner
  • Palmetto Bay, FL
National Provider Identifier
1508723016
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HARLEY'S INTRA BEAUTY WELLNESS SOLUTIONS LLC
Practice address
18142 SW 97TH Ave
Palmetto Bay, FL 33157-5501
Phone
(786) 454-3880
Fax
(786) 454-3881
NPI assigned
Jan 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Ms. Rodsana Gascon Diaz, AUTONOMOUS APRN FNPNPI 1790543734
Title
Owner/Prsident
Phone
(786) 803-2593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

18142 SW 97TH Ave
Palmetto Bay, FL 33157-5501

Mailing address

18142 SW 97TH Ave
Palmetto Bay, FL 33157-5501
Phone (786) 454-3880

Other names 1

  • Gascon medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212003205 FL Part B Supplier - Clinic/Group Practice 9133609852 Receives reassigned benefits from 1 practitioner
Practice locations: Palmetto Bay, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2337376Harley'S Intra Beauty18142 SW 97TH Ave, Palmetto Bay, FL 33157Certificate of waiverJan 21, 2028

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.

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1508723016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18142 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575501",
            "telephone_number": "786-454-3880",
            "fax_number": "786-454-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18142 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575501",
            "telephone_number": "786-454-3880",
            "fax_number": "786-454-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEY'S INTRA BEAUTY WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "GASCON DIAZ",
        "authorized_official_first_name": "RODSANA",
        "authorized_official_title_or_position": "OWNER/PRSIDENT",
        "authorized_official_telephone_number": "786-803-2593",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AUTONOMOUS APRN FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gascon medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.