Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Activa Medical Center & Spa

Organization Primary Care Nurse Practitioner · NPI 1609680776

Activa Medical Center & Spa is a Primary Care Nurse Practitioner 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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