Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Activa Medical Center & Spa

Organization Primary Care Nurse Practitioner · NPI 1609680776

Activa Medical Center & Spa provides Primary Care Nurse Practitioner services in Miami, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12966 SW 150th Ter
Miami, FL 33186-7601
Phone: (786) 406-2497
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1609680776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aimee Gonzalez — Family Nurse Practitioner · (786) 317-9247
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address11090 Sw 64th St, Miami, FL 33173-2028

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