Active NPI
Beyondbela Aesthetics & Wellness Corp
- Emergency Medicine Physician
- Brandon, FL
National Provider Identifier
1700512738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- BEYONDBELA AESTHETICS & WELLNESS CORP
- Practice address
- 201 E Robertson St
Brandon, FL 33511-5234 - Phone
- (813) 655-7621
- NPI assigned
- Aug 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jessica Villalon
- Title
- Billing
- Phone
- (813) 345-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
201 E Robertson St
Brandon, FL 33511-5234
Mailing address
201 E Robertson St
Brandon, FL 33511-5234
Phone (813) 655-7621
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dimaravega@beyondbela.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
201 E Robertson St
Brandon, FL 33511
Phone (813) 655-7621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Guayama, PR
- NPI 1366776015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659312000000",
"number": "1700512738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E ROBERTSON ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115234",
"telephone_number": "813-655-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E ROBERTSON ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115234",
"telephone_number": "813-655-7621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYONDBELA AESTHETICS & WELLNESS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A",
"authorized_official_last_name": "VILLALON",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "813-345-7070",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dimaravega@beyondbela.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email received all files PDF, CSV Etc",
"address_1": "201 E Robertson St",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335115234",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.