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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

DESTINY MED SPA INC
NPI 1962325472
Physician Assistant in Miami Lakes, FL

Active since August 01, 2026
5636 NW 167TH ST, MIAMI LAKES, FL 33014(305) 800-5476 Get Directions Write a Review

NPPES record added: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Med Spa Inc NPPES

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

DESTINY MED SPA INC (NPI 1962325472) is a healthcare organization registered as a physician assistant in Miami Lakes, Florida and active in the NPI registry since August 2026. The organization lists Edna Viviana Ayala, Owner, as its authorized official.

NPPES Registry Identity

NPI1962325472
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameDESTINY MED SPA INC
Location Address5636 NW 167TH STMiami Lakes, FL 33014-6135
Mailing Address5636 Nw 167th StMiami Lakes, FL 33014-6135 · (305) 800-5476
Phone(305) 800-5476
Organization SubpartNo
Authorized OfficialEdna Viviana AyalaOwner · (786) 444-6589
Enumeration DateAugust 1, 2026
NPPES CertifiedAugust 1, 2026
✔ NPI 1962325472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5636 NW 167TH ST, Miami Lakes, FL 33014
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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

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 Destiny Med Spa Inc's NPI number?

The NPI number for Destiny Med Spa Inc is 1962325472. It was assigned to this organization in the NPPES registry on August 1, 2026.

Where is Destiny Med Spa Inc located?

Destiny Med Spa Inc is located at 5636 NW 167th St, Miami Lakes, FL 33014. The listed phone number is (305) 800-5476.

What is Destiny Med Spa Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Destiny Med Spa Inc was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.