Active NPIOrganization

Activa Medical Center & Spa

Nurse Practitioner, Primary Care in Miami, Florida

NPI Number1609680776
Practice location
12966 SW 150TH Ter, Miami, FL 33186-7601
Fax
—
Last updated
February 6, 2025

Activa Medical Center & Spa is a healthcare organization based in Miami, FL. Activa Medical Center & Spa practices in Miami, FL. The NPI Number for Activa Medical Center & Spa is 1609680776. The current practice location address for Activa Medical Center & Spa is 12966 SW 150TH Ter, Miami, FL 33186-7601 and can be reached out via phone at 786-406-2497.

Provider Profile Details

NPI Number
1609680776
Provider Name
Activa Medical Center & Spa
Provider Entity Type
Organization
Address
12966 SW 150TH Ter, Miami, FL 33186-7601
Phone Number
786-406-2497
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Organization Subpart
No
Authorized Official
Mrs. Aimee Teresa Gonzalez, APRN · Family Nurse Practitioner · 786-317-9247
Provider Enumeration Date
February 6, 2025
Last Update Date
February 6, 2025
Certification Date
February 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
12966 SW 150TH Ter
Miami, FL 33186-7601
City
Miami
State
Florida
Zip
33186-7601
Phone Number
786-406-2497
Miami, FL 33186Get directions →

Provider Business Mailing Address Details

Address
11090 SW 64TH St
Miami, FL 33173-2028
City
Miami
State
FL
Zip
33173-2028
Phone Number
786-317-9247

License Information

Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Activa Medical Center & Spa?

The NPI number of Activa Medical Center & Spa is 1609680776. It was assigned on February 6, 2025 and is currently active in the NPPES registry.

What is the specialty of Activa Medical Center & Spa?

Activa Medical Center & Spa is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X).

Where does Activa Medical Center & Spa practice?

The practice location is 12966 SW 150TH Ter, Miami, FL 33186-7601. The office can be reached at 786-406-2497 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609680776 directly on the NPPES registry website.

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