Organization Active NPI

Brickell Skin Care Corp

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1902482540
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BRICKELL SKIN CARE CORP
Practice address
2730 SW 3Rd Ave Ste 100
Miami, FL 33129-2323
Phone
(305) 456-6001
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Julia Pernas
Title
Owner
Phone
(305) 456-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2730 SW 3Rd Ave Ste 100
Miami, FL 33129-2323

Mailing address

2730 SW 3Rd Ave Ste 100
Miami, FL 33129-2323
Phone (305) 456-6001

National Provider Directory

National Provider Directory

Locations

2730 SW 3rd Ave
Ste 100
Miami, FL 33129
Phone (305) 456-6001

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": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1902482540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292323",
            "telephone_number": "305-456-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292323",
            "telephone_number": "305-456-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICKELL SKIN CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "PERNAS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-456-6001"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.