Elegant Medical Spa Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELEGANT MEDICAL SPA CENTER INC

Practice address

14750 SW 26TH St Ste 111
Miami, FL 33185-5935

Phone

(305) 456-4921

NPI assigned

Mar 4, 2025

Organization subpart

No

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

Authorized official

Name

Lourdes Diaz

Title

Owner

Phone

(305) 793-1793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Alian Hernandez Lopez

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1710333596
  Medicare reassignment NPD

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1740088921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST STE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855935",
            "telephone_number": "305-456-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST STE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855935",
            "telephone_number": "305-456-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT MEDICAL SPA CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-793-1793"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.