Healthcare Provider Details

I. General information

NPI: 1477470292
Provider Name (Legal Business Name): NUVE WELLNESS & MEDICAL AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4005 NW 114TH AVE UNIT 12
DORAL FL
33178-4372
US

IV. Provider business mailing address

14719 SW 9TH TER
MIAMI FL
33194-2903
US

V. Phone/Fax

Practice location:
  • Phone: 786-606-6104
  • Fax:
Mailing address:
  • Phone: 786-606-6104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KIRA TEJADA
Title or Position: CO-OWNER
Credential: APRN
Phone: 786-812-6551