Organization Active NPI

Aquabella Aesthetic Center LLC

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1902639701
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AQUABELLA AESTHETIC CENTER LLC
Practice address
2500 NW 79TH Ave Ste 171
Doral, FL 33122-1082
Phone
(786) 371-9319
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Mrs. Mayreny C Gonzalez
Title
Onwer
Phone
(786) 371-9319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2500 NW 79TH Ave Ste 171
Doral, FL 33122-1082

Mailing address

1950 SW 122ND Ave
Miami, FL 33175-7369
Phone (786) 371-9319

National Provider Directory

National Provider Directory

Locations

2500 NW 79th Ave
Ste 171
Doral, FL 33122
Phone (786) 371-9319

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1902639701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757369",
            "telephone_number": "786-371-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 171",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221082",
            "telephone_number": "786-371-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUABELLA AESTHETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MAYRENY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "786-371-9319",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.