Organization
KIDNEY PARTNERS MIAMI BEACH, LLC
Active
Other names
KidneySPA Miami Beach
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MAURICIO CUELLAR M.D. (CEO)
(305) 329-2900
Entity
Organization
Contact information
Practice address
4302 ALTON RD STE 760, MIAMI BEACH, FL 33140-2893
(305) 329-2900
(786) 534-2079
Mailing address
219 NW 12TH AVE APT 508, MIAMI, FL 33128-2206
(305) 329-2900
(786) 534-2079
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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