Activa Medical Center & Spa
Nurse Practitioner, Primary Care in Miami, Florida
1609680776- Practice location
- 12966 SW 150TH Ter, Miami, FL 33186-7601
- Phone
- 786-406-2497
- Fax
- —
- Last updated
- February 6, 2025
Activa Medical Center & Spa is a healthcare organization based in Miami, FL. The NPI number for Activa Medical Center & Spa is 1609680776. The current practice location address is 12966 SW 150TH Ter, Miami, FL 33186-7601 and the office can be reached by phone at 786-406-2497. The NPI was assigned on February 6, 2025 and the record was last updated in NPPES on February 6, 2025.
●Provider Profile Details
- NPI Number
- 1609680776
- Provider Name
- Activa Medical Center & Spa
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Organization Subpart
- No
- Authorized Official
- Mrs. Aimee Teresa Gonzalez, APRN · Family Nurse Practitioner · 786-317-9247
- Enumeration Date
- February 6, 2025
- Last Update Date
- February 6, 2025
- Certification Date
- February 6, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 12966 SW 150TH Ter
Miami, FL 33186-7601 - City
- Miami
- State
- Florida
- ZIP
- 33186-7601
- Country
- US
- Phone Number
- 786-406-2497
✉Business Mailing Address
- Address
- 11090 SW 64TH St
Miami, FL 33173-2028 - City
- Miami
- State
- FL
- ZIP
- 33173-2028
- Phone Number
- 786-317-9247
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Primary Care 193400000X - Single Specialty Group | 363LP2300X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Miami →?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 at npiregistry.cms.hhs.gov.