| Live Medspa | |
|
8205 Nw 12th St Unit 4 Doral FL 33126-1837 | |
| (305) 699-9791 | |
| (786) 946-1156 |
| Full Name | Live Medspa |
|---|---|
| Speciality | General Practice |
| Location | 8205 Nw 12th St Unit 4, Doral, Florida |
| Authorized Official Name and Position | Andres Rodriguez (CEO / PRESIDENT) |
| Authorized Official Contact | 3056999791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Medspa 8205 Nw 12th St Unit 4 Doral FL 33126-1837 Ph: (305) 699-9791 | Live Medspa 8205 Nw 12th St Unit 4 Doral FL 33126-1837 Ph: (305) 699-9791 |
| NPI Number | 1205400959 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 7315331352 |
|---|---|
| Medicare Enrollment ID | O20220308001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205400959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Martin Gomez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134671290 PECOS PAC ID: 1052419744 Enrollment ID: I20190226000363 |
| Provider Name | Yul Marietta Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938282 PECOS PAC ID: 3375886609 Enrollment ID: I20190529002946 |
| Provider Name | Danay Mercedes Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124591235 PECOS PAC ID: 2860656725 Enrollment ID: I20220324001934 |
Armando Pineda-velez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8181 Nw 36th Street Suite 9, Suite # 210, Doral, FL 33166 Phone: 305-301-9322 Fax: 305-436-3781 | |
Texas Provider Health Network, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3750 Nw 87th Ave Ste 500, Doral, FL 33178 Phone: 305-284-7484 | |
Dade County Rehab Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Nw 79th Ave Ste 820, Doral, FL 33166 Phone: 305-597-0180 Fax: 305-597-0180 | |
Centro Medico Hispano Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9300 Nw 25th St, 209, Doral, FL 33172 Phone: 305-647-7383 Fax: 786-534-3568 | |
Prohealth Doral Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8247 Nw 36th St, Doral, FL 33166 Phone: 786-422-4309 | |
Vip Compliance Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2404 Nw 87th Pl, Doral, FL 33172 Phone: 305-470-2220 Fax: 305-470-2765 | |
Tenet Florida Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 Nw 82nd Ave, Ste 502, Doral, FL 33166 Phone: 305-594-9333 |