LAVERNIA MEDI-SPA INC. NPI 1689753030

NPI Information

  • NPI: 1689753030
  • Provider Name: LAVERNIA MEDI-SPA, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 7902 N.W. 36 STREET
    SUITE 201
    MIAMI, FL
    ZIP 33166
  • Phone: (305) 629-9662

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NPI Details

LAVERNIA MEDI-SPA, INC. is a clinic center in Miami, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LAVERNIA MEDI-SPA, INC. NPI is 1689753030. The provider is registered as an organization entity type.

The provider's business location address is:

7902 N.W. 36 STREET
SUITE 201
MIAMI, FL
ZIP 33166
Phone: (305) 629-9662
Fax: (305) 629-9663

The provider's authorized official is Pedro L Puebla .
The authorized official title is President and has the following contact phone number (305) 629-9662.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 8/22/2020.

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
1261Q00000XClinic/CenterHCC5400FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HCC5400OTHERFLORIDAAHCA LICENSE

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

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