MOON AESTHETICS & MEDICAL OFFICE LLC. NPI 1710562491

NPI Information

  • NPI: 1710562491
  • Provider Name: MOON AESTHETICS & MEDICAL OFFICE, LLC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2238235
  • Address: 5040 NW 7TH ST STE 412
    MIAMI, FL
    ZIP 33126
  • Phone: (786) 381-2180

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NPI Details

MOON AESTHETICS & MEDICAL OFFICE, LLC. 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). MOON AESTHETICS & MEDICAL OFFICE, LLC. NPI is 1710562491. The provider is registered as an organization entity type.

The provider's business location address is:

5040 NW 7TH ST STE 412
MIAMI, FL
ZIP 33126-431
Phone: (786) 381-2180
Fax: (786) 452-8966

The provider's authorized official is Yuleimy Lugones .
The authorized official title is President and has the following contact phone number (786) 629-9318.

The CLIA number assigned to this NPI record is 10D2238235 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2021 and was last updated on 10/1/2021.

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
1261Q00000XClinic/CenterYes

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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