Active NPI
Aquabella Aesthetic Center LLC
- Physical Therapy Clinic/Center
- Doral, FL
National Provider Identifier
1902639701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.