Organization Active NPI

Maryan Beauty LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1922791128
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARYAN BEAUTY LLC
Practice address
17811 SW 134TH CT
Miami, FL 33177-7136
Phone
(305) 562-0802
NPI assigned
Jun 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Maria U Hernandez Moran, APRN
Title
President
Phone
(305) 562-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

17811 SW 134TH CT
Miami, FL 33177-7136

Mailing address

17811 SW 134TH CT
Miami, FL 33177-7136
Phone (305) 562-0802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1922791128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17811 SW 134TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777136",
            "telephone_number": "305-562-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17811 SW 134TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777136",
            "telephone_number": "305-562-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAN BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ MORAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-562-0802",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Jun 1, 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.