NPIMap

Organization Active NPI

Mia Esthetics

  • Clinical & Laboratory Dermatological Immunology Physician
  • Hialeah, FL
National Provider Identifier
1992970784
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
ME93952 Issued in FL
Legal business name
MIA ESTHETICS
Practice address
7660A NW 186TH St
Hialeah, FL 33015-2925
Phone
(305) 828-7111
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Madelaine Izquierdo, P.A.
Title
Director
Phone
(305) 828-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NI0002X ME93952 FL Primary

Addresses

Primary practice location

7660A NW 186TH St
Hialeah, FL 33015-2925

Mailing address

7660-A N.W. 186TH Street
Miami, FL 33015
Phone (305) 828-7111

Other names 1

  • florida performance inc. Doing business as

National Provider Directory

National Provider Directory

Locations

7660A NW 186th St
Miami Gardens, FL 33015
Phone (305) 828-7111

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1992970784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660-A N.W. 186TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-828-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660A NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152925",
            "telephone_number": "305-828-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA ESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "MADELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-828-7111",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "FL",
            "license": "ME93952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "florida performance inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.