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SKIN EXTREME HEAL LLC
NPI 1003762105
Nurse Practitioner - Family in Miami, FL

Active since March 10, 2026
5430 SW 97TH CT, MIAMI, FL 33165(305) 496-7549 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skin Extreme Heal Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIN EXTREME HEAL LLC (NPI 1003762105) is a healthcare organization registered as a family in Miami, Florida and active in the NPI registry since March 2026. The organization lists Irene Mercedes Dominguez Prendes, Owner, as its authorized official.

NPPES Registry Identity

NPI1003762105
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSKIN EXTREME HEAL LLC
Location Address5430 SW 97TH CTMiami, FL 33165-7270
Mailing Address5430 Sw 97th CtMiami, FL 33165-7270
Phone(305) 496-7549
Organization SubpartNo
Authorized OfficialIrene Mercedes Dominguez PrendesOwner · (305) 496-7549
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1003762105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5430 SW 97TH CT, Miami, FL 33165
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRENE MERCEDES DOMINGUEZ PRENDES
Nurse Practitioner (Family)
5430 SW 97TH CT
MIAMI, FL 33165
Miami-Dade County (305) 496-7549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skin Extreme Heal LLC's NPI number?

The NPI number for Skin Extreme Heal LLC is 1003762105. It was assigned to this organization in the NPPES registry on March 10, 2026.

Where is Skin Extreme Heal LLC located?

Skin Extreme Heal LLC is located at 5430 SW 97th Ct, Miami, FL 33165. The listed phone number is (305) 496-7549.

What is Skin Extreme Heal LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Skin Extreme Heal LLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.