MIRACLE ANGELS MED SPA LLC NPI 1457024994

NPI Information

  • NPI: 1457024994
  • Provider Name: MIRACLE ANGELS MED SPA, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 10D2231677
  • Address: 14201 SW 120TH ST STE 205
    MIAMI, FL
    ZIP 33186
  • Phone: (305) 281-2494

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NPI Details

MIRACLE ANGELS MED SPA, LLC is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MIRACLE ANGELS MED SPA, LLC NPI is 1457024994. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14201 SW 120TH ST STE 205
MIAMI, FL
ZIP 33186-663
Phone: (305) 281-2494
Fax: (305) 675-5960

The provider's authorized official is Yamilka Poujaud Rodriguez .
The authorized official title is Owner and has the following contact phone number (305) 281-2494.

The CLIA number assigned to this NPI record is 10D2231677 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2021 and was last updated on 8/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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