NPIMap

Organization Active NPI

Miami Dermatology and Aesthetic Center, LLC

  • Specialist
  • Miami, FL
National Provider Identifier
1760737472
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIAMI DERMATOLOGY AND AESTHETIC CENTER, LLC
Practice address
8501 SW 124TH Avenue
Suite 203-B
Miami, FL 33183-4634
Phone
(786) 953-8198
Fax
(786) 953-8254
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Rebecca Ibanez
Title
Office Manager
Phone
(786) 953-8198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

8501 SW 124TH Avenue
Suite 203-B
Miami, FL 33183-4634

Mailing address

8501 SW 124TH Avenue
Suite 203-B
Miami, FL 33183-4634
Phone (786) 953-8198

National Provider Directory

National Provider Directory

Locations

8501 SW 124th Ave
Ste 203B
Miami, FL 33183
Phone (786) 953-8198

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1760737472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVENUE",
            "address_2": "SUITE 203-B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834634",
            "telephone_number": "786-953-8198",
            "fax_number": "786-953-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVENUE",
            "address_2": "SUITE 203-B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834634",
            "telephone_number": "786-953-8198",
            "fax_number": "786-953-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DERMATOLOGY AND AESTHETIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-953-8198"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Jul 18, 2012; 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.