NEW AGE MEDICAL AESTHETICS NPI 1457118580

NPI Information

  • NPI: 1457118580
  • Provider Name: NEW AGE MEDICAL AESTHETICS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D2301238
  • Address: 18901 SW 106TH AVE STE A-109
    CUTLER BAY, FL
    ZIP 33157
  • Phone: (954) 995-9176

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NPI Details

NEW AGE MEDICAL AESTHETICS is a primary care clinic center in Cutler Bay, FL. NEW AGE MEDICAL AESTHETICS NPI is 1457118580. The provider is registered as an organization entity type.

The provider's business location address is:

18901 SW 106TH AVE STE A-109
CUTLER BAY, FL
ZIP 33157-661
Phone: (954) 995-9176

The provider's authorized official is Mayrelis Bada .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (954) 995-9176.

The CLIA number assigned to this NPI record is 10D2301238 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2024 and was last updated on 3/6/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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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