Healthcare Provider Details

I. General information

NPI: 1700154382
Provider Name (Legal Business Name): CUERPOS HEALTH AND ESTHETIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8410 W FLAGLER ST SUITE 206B
MIAMI FL
33144-2092
US

IV. Provider business mailing address

8410 W FLAGLER ST SUITE 206B
MIAMI FL
33144-2092
US

V. Phone/Fax

Practice location:
  • Phone: 305-221-0292
  • Fax: 305-675-2668
Mailing address:
  • Phone: 305-221-0292
  • Fax: 305-675-2668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS M BORRERO
Title or Position: PRESIDENT
Credential: MA
Phone: 305-221-0292