Healthcare Provider Details
I. General information
NPI: 1205637063
Provider Name (Legal Business Name): HEALTH & BEAUTY NGB INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2025
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1454 SW 1ST ST STE 130
MIAMI FL
33135-2203
US
IV. Provider business mailing address
1454 SW 1ST ST STE 130
MIAMI FL
33135-2203
US
V. Phone/Fax
- Phone: 786-353-2872
- Fax: 786-353-2967
- Phone: 786-353-2872
- Fax: 786-353-2967
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NUBIA
GONZALEZ BUIGAS
Title or Position: PRESIDENT/HEALTHCARE PROVIDER
Credential: DNP, FNP, PMHNP
Phone: 786-353-2872