Organization Active NPI

Aesthetics and Health, Inc.

  • Health Service Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1841614898
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME112185 Issued in FL
Legal business name
AESTHETICS AND HEALTH, INC.
Practice address
4015 Indian Creek Dr Apt 302
Miami Beach, FL 33140-3747
Phone
(305) 763-0072
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Wilson Izquierdo
Title
President
Phone
(305) 763-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME112185 FL Primary

Addresses

Primary practice location

4015 Indian Creek Dr Apt 302
Miami Beach, FL 33140-3747

Mailing address

4015 Indian Creek Dr Apt 302
Miami Beach, FL 33140-3747
Phone (305) 763-0072

Other identifiers 1

IdentifierTypeStateIssuer
GR0078712MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1841614898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 INDIAN CREEK DR APT 302",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403747",
            "telephone_number": "305-763-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 INDIAN CREEK DR APT 302",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403747",
            "telephone_number": "305-763-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETICS AND HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-763-0072"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME112185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078712",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.