Organization Active NPI

Caribbean Blue Spa Corp

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1700395712
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HCC11225 Issued in FL
Legal business name
CARIBBEAN BLUE SPA CORP
Practice address
285 NW 27TH Ave
Miami, FL 33125-5131
Phone
(786) 899-0923
NPI assigned
Sep 21, 2017
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Iliana Mastrapa, ARNP
Title
Provider
Phone
(786) 899-0923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X HCC11225 FL Primary

Addresses

Primary practice location

285 NW 27TH Ave
Miami, FL 33125-5131

Mailing address

285 NW 27TH Ave Ste 17
Miami, FL 33125-5133

Other identifiers 1

IdentifierTypeStateIssuer
1538605266MedicaidFL

National Provider Directory

National Provider Directory

Locations

285 NW 27th Ave
Miami, FL 33125
Phone (305) 649-0064

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1700395712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NW 27TH AVE STE 17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255131",
            "telephone_number": "786-899-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN BLUE SPA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "MASTRAPA",
        "authorized_official_first_name": "ILIANA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "786-899-0923",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC11225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538605266",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.