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EFIGIE MED SPA LLC
NPI 1104756105
Clinical Ethicist in Miami, FL

Active since May 21, 2026CLIA 10D2276562 · Waiver
2750 SW 87TH AVE STE 206, MIAMI, FL 33165(305) 954-1963 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Efigie Med Spa Llc NPPES

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

EFIGIE MED SPA LLC (NPI 1104756105) is a healthcare organization registered as a clinical ethicist in Miami, Florida and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Ricardo Castrellon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104756105
Entity TypeOrganization
Primary Taxonomy174V00000X
Legal Business NameEFIGIE MED SPA LLC
Location Address2750 SW 87TH AVE STE 206Miami, FL 33165-3264
Mailing Address2750 Sw 87th Ave Ste 206Miami, FL 33165-3264 · (305) 954-1963
Phone(305) 954-1963
Organization SubpartNo
Authorized OfficialRicardo CastrellonMedical Director · (305) 954-1963
Enumeration DateMay 21, 2026
NPPES CertifiedMay 21, 2026
✔ NPI 1104756105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical EthicistOther Service Providers
Taxonomy Code174V00000X
Definition
A clinical ethicist has been trained in bioethics and ethics case consultation. The clinical ethicist addresses medical-ethical dilemmas arising in clinical practice, such as end-of-life care, refusal of treatment, and futility of care; assists patients and health care providers with medical decision-making; and provides ethics education for patients and families.
2750 SW 87TH AVE STE 206, Miami, FL 33165
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2276562

Efigie Corp · Miami, FL
Active · expires Feb 9, 2027
CLIA Number10D2276562
Laboratory TypeHealthcare Clinic
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorFernando Fandino Sende
Laboratory Phone(786) 502-2503
Laboratory LocationEfigie Corp2750 SW 87 Avenue, Ste 201-206, Miami, FL 33165
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DARIEN LUIS GONZALEZ VENTO
Clinical Ethicist
2750 SW 87TH AVE STE 206
MIAMI, FL 33165
Miami-Dade County (305) 954-1963
LIZ REHAB CENTER, INC
Clinic/Center (Multi-Specialty)
2750 SW 87TH AVE STE 206
MIAMI, FL 33165
Miami-Dade County (305) 982-8364

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 Efigie Med Spa LLC's NPI number?

The NPI number for Efigie Med Spa LLC is 1104756105. It was assigned to this organization in the NPPES registry on May 21, 2026.

Where is Efigie Med Spa LLC located?

Efigie Med Spa LLC is located at 2750 SW 87th Ave Ste 206, Miami, FL 33165. The listed phone number is (305) 954-1963.

What is Efigie Med Spa LLC's specialty?

The primary specialty registered for this NPI is Clinical Ethicist with taxonomy code 174V00000X.

Does Efigie Med Spa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2276562) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Efigie Med Spa LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.