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NPI Code Detail

MEDICARE: LIFE BEAUTY & HEALTH SPA LLC

MEDICARE: LIFE BEAUTY & HEALTH SPA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1003762170
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE BEAUTY & HEALTH SPA LLC
Provider Business Mailing Address
First Line : 4684 NW 183RD ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-3054
Country : US
Telephone Number : 305-399-7806
Fax Number : 305-399-7807
Provider Business Practice Location Address
First Line : 4684 NW 183RD ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-3054
Country : US
Telephone Number : 305-399-7806
Fax Number : 305-399-7807
Authorized Official
Title or Position : PRESIDENT
Name : PEDRO ALEJANDRO MARTINEZ
Credential : OWNER
Telephone Number : 305-399-7806
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “LIFE BEAUTY & HEALTH SPA LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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