Organization Active NPI

The Nova Cosmetic and Rehabilitation, Inc

  • Rehabilitation Clinic/Center
  • Cutler Bay, FL
National Provider Identifier
1962741777
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCC9718 Issued in FL
Legal business name
THE NOVA COSMETIC AND REHABILITATION, INC
Practice address
9722 SW 184TH St
Cutler Bay, FL 33157-6987
Phone
(786) 429-3312
Fax
(786) 953-5442
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Erick Juarez, MD
Title
Owner
Phone
(786) 429-3312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rehabilitation Clinic/Center 261QR0400X HCC9718 FL Primary

Addresses

Primary practice location

9722 SW 184TH St
Cutler Bay, FL 33157-6987

Mailing address

9722 SW 184TH St
Cutler Bay, FL 33157-6987
Phone (786) 429-3312

Other names 1

  • The Nova Cosmetic and Primary Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2078098Nova Cosmetic and Rehabilitation Center, the9722 SW 184TH St, Miami, FL 33157Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

1900 Coral Way
Ste 200
Miami, FL 33145
Phone (305) 509-7949

Practitioners & affiliated clinicians

Practitioners 2

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": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1962741777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 SW 184TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576987",
            "telephone_number": "786-429-3312",
            "fax_number": "786-953-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9722 SW 184TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576987",
            "telephone_number": "786-429-3312",
            "fax_number": "786-953-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NOVA COSMETIC AND REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-429-3312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC9718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Nova Cosmetic and Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.