L'Esthetique Medical Spa LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

L'ESTHETIQUE MEDICAL SPA LLC

Practice address

10556 NW 26TH St Ste D203
Doral, FL 33172-5931

Phone

(786) 325-0285

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Adiaris Valle, APNPNPI 1831563352

Title

Owner

Phone

(786) 325-0285

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.

• Adiaris Valle, APRN

  • Family Nurse Practitioner
  • Doral, FL
  • NPI 1831563352

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1790438463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10556 NW 26TH ST STE D203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725931",
            "telephone_number": "786-325-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10556 NW 26TH ST STE D203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725931",
            "telephone_number": "786-325-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L'ESTHETIQUE MEDICAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "ADIARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-325-0285",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.