ESENCIA PRIMARY CARE AND MEDSPA CORP
NPI 1164169512
Clinical Nurse Specialist - Family Health in Doral, FL

Active since May 17, 2022
10520 NW 26TH ST STE C201, DORAL, FL 33172(786) 615-5558 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Esencia Primary Care And Medspa Corp NPPES

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

ESENCIA PRIMARY CARE AND MEDSPA CORP (NPI 1164169512) is a healthcare organization registered as a family health in Doral, Florida and active in the NPI registry since May 2022. The organization lists Jesus Ramos, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164169512
Entity TypeOrganization
Primary Taxonomy364SF0001X
Legal Business NameESENCIA PRIMARY CARE AND MEDSPA CORP
Location Address10520 NW 26TH ST STE C201Doral, FL 33172-2161
Mailing Address10520 Nw 26th St Ste C201Doral, FL 33172-2161 · (786) 615-5558
Organization SubpartNo
Authorized OfficialJesus RamosAuthorized Official · (786) 615-5058
Enumeration DateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1164169512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
10520 NW 26TH ST STE C201, Doral, FL 33172

Other Identifiers 1

Other11017780FL · License

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Esencia Primary Care And Medspa Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Esencia Primary Care And Medspa Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1497211999
15230 NW 89TH AVE
Hialeah, FL 33018
(786) 810-0496
✔ PECOS8.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Esencia Primary Care And Medspa Corp's NPI number?

The NPI number for Esencia Primary Care And Medspa Corp is 1164169512. It was assigned to this organization in the NPPES registry on May 17, 2022.

Where is Esencia Primary Care And Medspa Corp located?

Esencia Primary Care And Medspa Corp is located at 10520 NW 26th St Ste C201, Doral, FL 33172. The listed phone number is (786) 615-5558.

What is Esencia Primary Care And Medspa Corp's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Is Esencia Primary Care And Medspa Corp enrolled in Medicare?

Yes. Esencia Primary Care And Medspa Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Esencia Primary Care And Medspa Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Esencia Primary Care And Medspa Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Esencia Primary Care And Medspa Corp was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.