ACTIVA MEDICAL CENTER & SPA NPI 1609680776

NPI Information

  • NPI: 1609680776
  • Provider Name: ACTIVA MEDICAL CENTER & SPA
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 12966 SW 150TH TER
    MIAMI, FL
    ZIP 33186
  • Phone: (786) 406-2497

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NPI Details

ACTIVA MEDICAL CENTER & SPA is a primary care nurse practitioner in Miami, FL. ACTIVA MEDICAL CENTER & SPA NPI is 1609680776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12966 SW 150TH TER
MIAMI, FL
ZIP 33186-601
Phone: (786) 406-2497

The provider's authorized official is Aimee Teresa Gonzalez .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (786) 317-9247.

The enumeration date for this NPI number is 2/6/2025 and was last updated on 2/6/2025.

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
1363LP2300XNurse PractitionerPrimary 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: 11/21/2025

NPI Synchronization or Removal

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