Miami Lakes Med Spa LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIAMI LAKES MED SPA LLC

Doing business as

Contigo Medical Center

Practice address

7980 NW 155TH St Ste a
Miami Lakes, FL 33016-5884

Phone

(305) 418-0392

Fax

(305) 998-1456

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Armando Gonzalez, DNPNPI 1558883744

Title

Owner

Phone

(786) 873-1248

Specialties & licenses 1

Addresses

Other names 1

• Contigo Medical Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Armando Gonzalez, ARNP

  • Nurse Practitioner
  • Hialeah, FL
  • NPI 1558883744
  Authorized official Same address or phone

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1861264939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 NW 155TH ST STE A",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165884",
            "telephone_number": "305-418-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 NW 155TH ST STE A",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165884",
            "telephone_number": "305-418-0392",
            "fax_number": "305-998-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI LAKES MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-873-1248",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contigo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.