OrganizationLa Tans, Spa & Medical Aesthetics IncInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1811 NE 123rd St, North Miami, FL 33181-2805(305) 987-0511PECOS EnrollmentBased on the most recent information from CMS, provider La Tans, Spa & Medical Aesthetics Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295188944Provider TypeOrganizationFull NameLa Tans, Spa & Medical Aesthetics IncSubpartNoEnumeration Date7/18/2016Last Updated7/18/2016Contact InformationPractice LocationPractice Address1811 NE 123rd St, North Miami, FL 33181-2805Phone(305) 987-0511FaxUnlisted FaxMailing LocationMailing Address1811 NE 123rd St, North Miami, FL 33181-2805Phone(305) 987-0511FaxUnlisted FaxAuthorized OfficialNameMartinez, Xavier (Billing Officer)Phone(305) 987-0511Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME81585Florida