Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETHEREAL MEDSPA LLC
NPI 1841117611
Nurse Practitioner - Primary Care in Miami, FL

Q: What is Ethereal Medspa LLC's NPI number?

The NPI number for Ethereal Medspa LLC is 1841117611. It was assigned to this organization in the NPPES registry on July 2, 2026.

Q: What is Ethereal Medspa LLC's specialty?

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

Active since July 02, 2026

13011 SW 132ND ST, MIAMI, FL 33186(786) 804-1241 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ethereal Medspa Llc NPPES

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

ETHEREAL MEDSPA LLC (NPI 1841117611) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since July 2026. The organization lists Isabel Maria Gomez Hernandez, Aprn, as its authorized official.

NPPES Registry Identity

NPI1841117611

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameETHEREAL MEDSPA LLC

Location Address13011 SW 132ND STMiami, FL 33186-7197

Mailing Address13011 Sw 132nd StMiami, FL 33186-7197 · (786) 804-1241

Phone(786) 804-1241

Organization SubpartNo

Authorized OfficialIsabel Maria Gomez HernandezAprn · (786) 804-1241

Enumeration DateJuly 2, 2026

Last NPPES UpdateJuly 14, 2026

NPPES CertifiedJuly 14, 2026

✔ NPI 1841117611 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

13011 SW 132ND ST, 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.

YASSER SANTANA

Physical Therapist

13011 SW 132ND ST
MIAMI, FL 33186

Miami-Dade County (305) 239-9383

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 Ethereal Medspa LLC's NPI number?

The NPI number for Ethereal Medspa LLC is 1841117611. It was assigned to this organization in the NPPES registry on July 2, 2026.

Where is Ethereal Medspa LLC located?

Ethereal Medspa LLC is located at 13011 SW 132nd St, Miami, FL 33186. The listed phone number is (786) 804-1241.

What is Ethereal Medspa LLC'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 Ethereal Medspa LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.