Organization Active NPI

White Coat Restore & Revive LLC

  • Primary Care Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1801685672
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WHITE COAT RESTORE & REVIVE LLC
Practice address
7916 NW 162ND St
Miami Lakes, FL 33016-6111
Phone
(305) 608-7401
Fax
(279) 300-3517
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Dr. Yanetsy Olivera Arencibia, MDNPI 1093177537
Title
Physician
Phone
(305) 608-7401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7916 NW 162ND St
Miami Lakes, FL 33016-6111

Mailing address

7916 NW 162ND St
Miami Lakes, FL 33016-6111
Phone (305) 608-7401

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1801685672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 NW 162ND ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166111",
            "telephone_number": "305-608-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 NW 162ND ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166111",
            "telephone_number": "305-608-7401",
            "fax_number": "279-300-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COAT RESTORE & REVIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "OLIVERA ARENCIBIA",
        "authorized_official_first_name": "YANETSY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-608-7401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.