OrganizationActive
Bonita Cosmetic LLC
NPI 1164177721 · Primary Care Clinic/Center · Tampa, FL
Bonita Cosmetic LLC is a Primary Care Clinic/Center organization in Tampa, FL (NPI 1164177721).
Provider details
- NPI number
- 1164177721
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Oriberto Iparraguirre Gongora, Ambr(813) 931-0024
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7820 N Armenia Ave Ste B
Tampa, FL 33604-3852
Phone: (813) 931-0024
Fax: (813) 931-0026
Street-level locationGet directions
Mailing address
405 Loch Devon Dr
Lutz, FL 33548-4282
Other names (DBA / former)
- Former legal business name
- Bonita Cosmetic LLC
Registry dates
- Enumerated
- 2022-02-12
- Last updated
- 2022-02-12
- Certified
- 2022-02-12
Frequently asked questions
- What is Bonita Cosmetic LLC's NPI number?
- Bonita Cosmetic LLC's National Provider Identifier (NPI) is 1164177721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonita Cosmetic LLC?
- Bonita Cosmetic LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bonita Cosmetic LLC located?
- Bonita Cosmetic LLC's practice location on file with NPPES is 7820 N Armenia Ave Ste B, Tampa, FL 33604-3852.
- What is Bonita Cosmetic LLC's phone number?
- The practice phone number listed in the NPPES registry for Bonita Cosmetic LLC is (813) 931-0024.
- Who is the authorized official for Bonita Cosmetic LLC?
- The authorized official listed on Bonita Cosmetic LLC's NPPES record is Oriberto Iparraguirre Gongora, Ambr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonita Cosmetic LLC's NPI active?
- Yes — Bonita Cosmetic LLC's NPI (1164177721) is active in the NPPES registry as of the last update on 2022-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.