KIDNEYSPA AT BIRD ROAD LLC NPI 1770205759

NPI Information

  • NPI: 1770205759
  • Provider Name: KIDNEYSPA AT BIRD ROAD, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Address: 11501 SW 40TH ST STE 101
    MIAMI, FL
    ZIP 33165
  • Phone: (305) 329-2900

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NPI Details

KIDNEYSPA AT BIRD ROAD, LLC is an end-stage renal disease (esrd) treatment clinic center in Miami, FL. KIDNEYSPA AT BIRD ROAD, LLC NPI is 1770205759. The provider is registered as an organization entity type.

The provider's business location address is:

11501 SW 40TH ST STE 101
MIAMI, FL
ZIP 33165-313
Phone: (305) 329-2900

The provider's authorized official is Juan Mauricio Cuellar .
The authorized official title is Ceo and has the following contact phone number (305) 329-2900.

The enumeration date for this NPI number is 9/15/2022 and was last updated on 10/27/2023.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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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