Active NPI
Beautiful Minds Medical Center LLC
- Primary Care Clinic/Center
- Miami, FL
National Provider Identifier
1972117224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- BEAUTIFUL MINDS MEDICAL CENTER LLC
- Practice address
- 11045 SW 216TH Street
Unit 6
Miami, FL 33170 - Phone
- (305) 647-9499
- NPI assigned
- Sep 3, 2020
- 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
- Gabriela Marinello
- Title
- Director
- Phone
- (305) 647-9499
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Research Clinic/Center | 261QR1100X |
Addresses
Primary practice location
11045 SW 216TH Street
Unit 6
Miami, FL 33170
Mailing address
23846 SW 116TH CT
Homestead, FL 33032-7188
Phone (305) 647-9499
National Provider Directory
National Provider DirectoryLocations
11045 SW 216th St
Unit 6
Miami, FL 33170
Phone (305) 647-9499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599091200000",
"number": "1972117224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23846 SW 116TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330327188",
"telephone_number": "305-647-9499",
"fax_number": "305-508-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11045 SW 216TH STREET",
"address_2": "UNIT 6",
"city": "MIAMI",
"state": "FL",
"postal_code": "33170",
"telephone_number": "305-647-9499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUTIFUL MINDS MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-08-31",
"status": "A",
"authorized_official_last_name": "MARINELLO",
"authorized_official_first_name": "GABRIELA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "305-647-9499"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.