MEDICARE: NEW AGE MEDICAL AESTHETICS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	208D00000X	General Practice Physician
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1457118580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW AGE MEDICAL AESTHETICS

Provider Business Mailing Address
First Line	:	18901 SW 106TH AVE STE A-109
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-7661
Country	:	US
Telephone Number	:	954-995-9176
Fax Number	:

Provider Business Practice Location Address
First Line	:	18901 SW 106TH AVE STE A-109
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-7661
Country	:	US
Telephone Number	:	954-995-9176
Fax Number	:

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER
Name	:	MAYRELIS BADA
Credential	:
Telephone Number	:	954-995-9176

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	02/18/2026

Similar Medicare Providers

1578264222 — MAYRELIS BADA FNP-C, APRN
Practice Location Address:

18901 SW 106TH AVE STE A-109
CUTLER BAY, FL
33157-7661

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Practice Fax:

1548480049 — HOUSE CALL HOME HEALTH AGENCY CORP.
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1033341862 — DR. LUANN RODRIGUEZ PHD, LMFT
Practice Location Address:

18901 SW 106TH AVE , SUITE # A-108
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33157-7661

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Practice Fax:

1972838548 — GALATA INC.
Practice Location Address:

18901 SW 106TH AVE , A145
CUTLER BAY, FL
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1457605941 — GILD ADULT DAYCARE LLC.
Practice Location Address:

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Practice Location Address:

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