KIDNEYSPA HIALEAH LLC NPI 1801519137

NPI Information

  • NPI: 1801519137
  • Provider Name: KIDNEYSPA HIALEAH LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • CLIA Number: 10D2278359
  • Address: 4286 PALM AVE
    HIALEAH, FL
    ZIP 33012
  • Phone: (305) 329-2900

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NPI Details

KIDNEYSPA HIALEAH LLC is an end-stage renal disease (esrd) treatment clinic center in Hialeah, FL. KIDNEYSPA HIALEAH LLC NPI is 1801519137. The provider is registered as an organization entity type.

The provider's business location address is:

4286 PALM AVE
HIALEAH, FL
ZIP 33012-454
Phone: (305) 329-2900
Fax: (305) 428-5698

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

The CLIA number assigned to this NPI record is 10D2278359 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2022 and was last updated on 10/16/2023.

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: 11/21/2025

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