Organization Active NPI

Beautiful Minds Medical Center LLC

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1972117224
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Sep 3, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.