Forever Young Cosmetics & Surgery Center Corp

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSR987 Issued in FL

Legal business name

FOREVER YOUNG COSMETICS & SURGERY CENTER CORP

Practice address

1790 SW 27TH Ave
Miami, FL 33145-2418

Phone

(305) 444-4274

Fax

(305) 444-4374

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Roberto Falcon

Title

President

Phone

(786) 374-5868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1811345200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452418",
            "telephone_number": "305-444-4274",
            "fax_number": "305-444-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452418",
            "telephone_number": "305-444-4274",
            "fax_number": "305-444-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG COSMETICS & SURGERY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-374-5868"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "OSR987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forest View Senior Care
• Forest View Senior Care
• Forever ABA Therapy Corp
• Forever Pharmacy Corp
• Forever Young Community Services LLC
• Forever Young Home Health Agency,Inc.
• Celine Forges-Voigt, ARNP
• Jacquella Forgey-Carpenter, LCSW
• Irman Forghani, M.D
• Mariam Forhat Aguililla

• Ambulatory Surgical Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.