Organization Active NPI

Moon Aesthetics & Medical Office, LLC.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1710562491
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOON AESTHETICS & MEDICAL OFFICE, LLC.
Practice address
5040 NW 7TH St Ste 412
Miami, FL 33126-3431
Phone
(786) 381-2180
Fax
(786) 452-8966
NPI assigned
Mar 14, 2021
Last updated
Oct 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Yuleimy Lugones
Title
President
Phone
(786) 629-9318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5040 NW 7TH St Ste 412
Miami, FL 33126-3431

Mailing address

5040 NW 7TH St Ste 412
Miami, FL 33126-3431
Phone (786) 629-9318

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
10D2238235Moon Aesthetics & Medical Office LLC5040 NW 7TH Street, Suite 412, Miami, FL 33126Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1710562491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 412",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263431",
            "telephone_number": "786-629-9318",
            "fax_number": "786-452-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 412",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263431",
            "telephone_number": "786-381-2180",
            "fax_number": "786-452-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON AESTHETICS & MEDICAL OFFICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "LUGONES",
        "authorized_official_first_name": "YULEIMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-629-9318"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.