NPIMap

Organization Active NPI

Aqua Clinical Services Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1629130323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AQUA CLINICAL SERVICES INC
Practice address
1490 W 49TH PL
Suite 340
Hialeah, FL 33012-3148
Phone
(305) 244-3967
NPI assigned
Dec 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luz Mary Sabogal
Title
President
Phone
(305) 244-3967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1490 W 49TH PL
Suite 340
Hialeah, FL 33012-3148

Mailing address

1490 W 49TH PL
Suite 340
Hialeah, FL 33012-3148
Phone (305) 244-3967

National Provider Directory

National Provider Directory

Locations

1490 W 49th Pl
Ste 340
Hialeah, FL 33012
Phone (305) 244-3967

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629130323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL",
            "address_2": "SUITE 340",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123148",
            "telephone_number": "305-244-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL",
            "address_2": "SUITE 340",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123148",
            "telephone_number": "305-244-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SABOGAL",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-244-3967"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.