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 today at 4:18 PM.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