{
"Npi": {
"NPI": "1588522536",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ALBA BAGLIETTO",
"ParentOrgTIN": null,
"OrgName": "BAGLIETTO'S MED SPA LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "18505 NW 75TH PL STE 105",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIALEAH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33015-2961",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-456-5029",
"MailingAddressFaxNumber": "786-438-5006",
"FirstLinePracticeLocationAddress": "18505 NW 75TH PL STE 105",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HIALEAH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33015-2961",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-456-5029",
"PracticeLocationAddressFaxNumber": "786-438-5006",
"EnumerationDate": "01/09/2026",
"LastUpdateDate": "01/09/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BAGLIETTO",
"AuthorizedOfficialFirstName": "ALBA",
"AuthorizedOfficialMiddleName": "MARINA",
"AuthorizedOfficialTitle": "OWNER/APRN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "APRN",
"AuthorizedOfficialTelephoneNumber": "305-456-5029",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QI0500X",
"TaxonomyName": "Infusion Therapy Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}