HARBOUR MEDICAL AND AESTHETICS CENTER LLC
NPI 1659031946
Family Medicine in Miami, FL

Active since December 28, 2021CLIA 10D2244302 · Waiver
1021 IVES DAIRY RD STE 214, MIAMI, FL 33179(305) 504-6136 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2022, Dec 28, 2021 (2 updates tracked since 2021).

About Harbour Medical And Aesthetics Center Llc NPPES

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

HARBOUR MEDICAL AND AESTHETICS CENTER LLC (NPI 1659031946) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Gretel Trullenque, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1659031946
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARBOUR MEDICAL AND AESTHETICS CENTER LLC
Location Address1021 IVES DAIRY RD STE 214Miami, FL 33179-2537
Mailing Address1021 Ives Dairy Rd Ste 214Miami, FL 33179-2537 · (305) 504-6136 · Fax (786) 671-0187
Organization SubpartNo
Authorized OfficialGretel TrullenqueAuthorized Official · (305) 504-6136
Enumeration DateDecember 28, 2021
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1659031946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1021 IVES DAIRY RD STE 214, Miami, FL 33179

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

Accepted Insurance

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 10D2244302

Harbour Medical And Aesthetics Center, LLC · Miami, FL
Active · expires Nov 29, 2027
CLIA Number10D2244302
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorGretel Trullenque
Laboratory Phone(305) 504-6136
Laboratory LocationHarbour Medical And Aesthetics Center, LLC1021 Ives Dairy Road, Suite 214, Miami, FL 33179
CLIA data matches this NPI record on: Address Name Phone
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.

Nurse Practitioner (Family)
1021 IVES DAIRY RD STE 214
NORTH MIAMI BEACH, FL 33179
Family Medicine
1021 IVES DAIRY RD STE 214
MIAMI, FL 33179

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 Harbour Medical And Aesthetics Center LLC's NPI number?

The NPI number for Harbour Medical And Aesthetics Center LLC is 1659031946. It was assigned to this organization in the NPPES registry on December 28, 2021.

Where is Harbour Medical And Aesthetics Center LLC located?

Harbour Medical And Aesthetics Center LLC is located at 1021 Ives Dairy Rd Ste 214, Miami, FL 33179. The listed phone number is (305) 504-6136.

What is Harbour Medical And Aesthetics Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Harbour Medical And Aesthetics Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2244302) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harbour Medical And Aesthetics Center LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Harbour Medical And Aesthetics Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harbour Medical And Aesthetics Center LLC was last updated on June 9, 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.