Rejuvenate Med Spa

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME87277 Issued in FL

Legal business name

REJUVENATE MED SPA

Practice address

1111 Brickell Ave FL 11
Miami, FL 33131-3122

Phone

(954) 925-8100

Fax

(954) 827-3913

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Altagracia Miranda

Title

President/MD

Phone

(954) 925-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Canna-Care Health

  • Primary Care Clinic/Center
  • Miami Beach, FL
  • NPI 1154930469
  NPPES parent name

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1740583749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BRICKELL AVE FL 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BRICKELL AVE FL 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313122",
            "telephone_number": "954-925-8100",
            "fax_number": "954-827-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "954-925-8100"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME87277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267920500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Reiss, PH.D., LMHC, ACS
• Joel Reiter, M.D.
• Richard Reixach
• Dennis Rejas Cabrera
• Williams Arturo Rejas Yucra, APRN
• Relax Rehab Center Inc
• Relax Spa Inc
• Relaxation Arts
• Relaxing Rehab Center Inc.
• Relaxing Rehab Center Inc.

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.