Activa Medical Center & Spa

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ACTIVA MEDICAL CENTER & SPA

Practice address

12966 SW 150TH Ter
Miami, FL 33186-7601

Phone

(786) 406-2497

NPI assigned

Feb 6, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Aimee Teresa Gonzalez, APRNNPI 1245726009

Title

Family Nurse Practitioner

Phone

(786) 317-9247

Specialties & licenses 1

Addresses

Practitioners 2

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

• Aimee Teresa Gonzalez

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1245726009
  NPD (past) Authorized official
• Indira Beatriz Gutierrez, APRN-FNP-C

  • Family Nurse Practitioner
  • Naranja, FL
  • NPI 1083345094
  NPD

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1609680776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11090 SW 64TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732028",
            "telephone_number": "786-317-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 SW 150TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867601",
            "telephone_number": "786-406-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA MEDICAL CENTER & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-317-9247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "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": []
}

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• Primary Care Nurse Practitioner in Miami, FL
• Providers in Miami, 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 Feb 6, 2025; 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.