ACTIVA MEDICAL CENTER & SPA
NPI 1609680776
Nurse Practitioner - Primary Care in Miami, FL

Q: What is Activa Medical Center & Spa's NPI number?

The NPI number for Activa Medical Center & Spa is 1609680776. It was assigned to this organization in the NPPES registry on February 6, 2025.

Q: What is Activa Medical Center & Spa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since February 06, 2025

12966 SW 150TH TER, MIAMI, FL 33186(786) 406-2497 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Activa Medical Center & Spa NPPES

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

ACTIVA MEDICAL CENTER & SPA (NPI 1609680776) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since February 2025. The organization lists Aimee Teresa Gonzalez, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1609680776

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameACTIVA MEDICAL CENTER & SPA

Location Address12966 SW 150TH TERMiami, FL 33186-7601

Mailing Address11090 Sw 64th StMiami, FL 33173-2028 · (786) 317-9247

Phone(786) 406-2497

Organization SubpartNo

Authorized OfficialAimee Teresa GonzalezFamily Nurse Practitioner · (786) 317-9247

Enumeration DateFebruary 6, 2025

NPPES CertifiedFebruary 6, 2025

✔ NPI 1609680776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

12966 SW 150TH TER, Miami, FL 33186

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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.

KALEBET HEALTHCARE LLC

Clinic/Center (Primary Care)

12966 SW 150TH TER
MIAMI, FL 33186

Miami-Dade County (786) 406-2497

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 Activa Medical Center & Spa's NPI number?

The NPI number for Activa Medical Center & Spa is 1609680776. It was assigned to this organization in the NPPES registry on February 6, 2025.

Where is Activa Medical Center & Spa located?

Activa Medical Center & Spa is located at 12966 SW 150th Ter, Miami, FL 33186. The listed phone number is (786) 406-2497.

What is Activa Medical Center & Spa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Activa Medical Center & Spa was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.