License Verification
MIAMI LIFE PLASTIC SURGERY, CORP.
MIAMI LIFE COSMETIC CENTER
License Number: OSR1562
Data As Of 10/22/2026
No secondary locations found.
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| ALFONSO BLANDY, MABELYS | Recovery | Registered Nurse | 9658470 | 04/10/2026 |
| ALFONSO, IVON MARIA | Anesthesia Provider | Advanced Practice Registered Nurse | 11015765 | 10/16/2023 |
| ALLY, CHRISTOPHER AFDAL | Anesthesia Provider | Advanced Practice Registered Nurse | 9284176 | 09/20/2023 |
| ANTOINE, STEVE | Anesthesia Provider | Advanced Practice Registered Nurse | 11006057 | 03/12/2025 |
| BROWN, STEPHANIE MARIA | Anesthesia Provider | Advanced Practice Registered Nurse | 11007016 | 05/29/2026 |
| CARRENO, GABRIEL | Additional Surgical Staff | Unlicensed Facility Personnel | 02/05/2021 | |
| CHACON MILLAN, NAIBE | Additional Surgical Staff | Unlicensed Facility Personnel | 04/10/2026 | |
| CHAVEZ, CAMILLE DENISE | Physician | Medical Doctor | 68329 | 03/30/2021 |
| CORNISH, ALEXANDRA MARIA | Anesthesia Provider | Advanced Practice Registered Nurse | 9243777 | 12/05/2023 |
| CULLEMARK, BIANCA CRISTINA | Anesthesia Provider | Advanced Practice Registered Nurse | 9307019 | 10/14/2026 |
| DEL RISCO, JESUS LAZARO | Anesthesia Provider | Advanced Practice Registered Nurse | 2512552 | 04/16/2021 |
| DIETSCH, GABRIEL | Anesthesia Provider | Advanced Practice Registered Nurse | 9248348 | 11/21/2023 |
| DOMINGO, CYNTHIA DUMAPIT | Anesthesia Provider | Advanced Practice Registered Nurse | 9272028 | 08/24/2026 |
| DORTA VALLADARES, YAIMA | Additional Surgical Staff | Unlicensed Facility Personnel | 04/04/2024 | |
| ESCOBAR, DANIEL BENJAMIN | Anesthesia Provider | Advanced Practice Registered Nurse | 11005621 | 06/28/2024 |
| ESQUERRA, NAYURIS | Additional Surgical Staff | Unlicensed Facility Personnel | 04/02/2021 | |
| FREITAS, CARLOS JESUS | Anesthesia Provider | Advanced Practice Registered Nurse | 9279188 | 01/10/2023 |
| FREITAS, RAQUEL | Anesthesia Provider | Advanced Practice Registered Nurse | 9279189 | 07/24/2023 |
| FRIAS SANCHEZ, ULISES | Anesthesia Provider | Advanced Practice Registered Nurse | 11009554 | 01/03/2024 |
| FUERTES RODRIGUEZ, JORGE | Agent | Unlicensed Facility Personnel | 02/05/2021 | |
| FUERTES RODRIGUEZ, JORGE | Officer | Unlicensed Facility Personnel | 02/05/2021 | |
| FUERTES RODRIGUEZ, JORGE | Owner | Unlicensed Facility Personnel | 02/05/2021 | |
| GODAT, DAVID MICHAEL | Physician | Medical Doctor | 167167 | 06/11/2025 |
| GOMEZ RUIZ, SARY | Additional Surgical Staff | Unlicensed Facility Personnel | 07/05/2025 | |
| GUEVARA, ISABEL | Additional Surgical Staff | Unlicensed Facility Personnel | 02/05/2021 | |
| HERNANDEZ, GRETTEL | Anesthesia Provider | Advanced Practice Registered Nurse | 11005565 | 01/10/2026 |
| IANNUZZI, LISA ROSE | Anesthesia Provider | Advanced Practice Registered Nurse | 9323177 | 04/02/2021 |
| KAGAN, ROBERT SCOTT | Physician | Medical Doctor | 98957 | 05/25/2023 |
| KAUFMAN, DANIEL | Physician | Medical Doctor | 151561 | 09/21/2021 |
| KING, JAMES MICHAEL | Anesthesia Provider | Advanced Practice Registered Nurse | 9357043 | 08/15/2024 |
| KITSOS, CONSTANTINE N | Physician | Medical Doctor | 11729 | 05/12/2021 |
| LEHMAN, KYLE | Anesthesia Provider | Advanced Practice Registered Nurse | 11002549 | 06/05/2024 |
| LUGO TORRES, JENNIFER | Anesthesia Provider | Advanced Practice Registered Nurse | 11006165 | 08/03/2026 |
| MCADOO, JAMES SCOTT | Physician | Osteopathic Physician | 11955 | 06/14/2022 |
| MELIZ CRUZ, OMAR | Anesthesia Provider | Advanced Practice Registered Nurse | 11018589 | 04/05/2022 |
| MENDIZABAL, MANUEL RAMON S | Designated Physician | Medical Doctor | 33414 | 02/04/2025 |
| MENDIZABAL, MANUEL RAMON S | Physician | Medical Doctor | 33414 | 02/04/2025 |
| MILLER, MICHAEL LEE | Physician | Medical Doctor | 98427 | 09/12/2022 |
| MORALES TIRADO, ROXANA | Additional Surgical Staff | Unlicensed Facility Personnel | 04/17/2026 | |
| NWOKOCHA, ONYEKA | Physician | Medical Doctor | 136750 | 08/08/2023 |
| ONZAGA CEPEDA, INGRID LORENA | Recovery | Advanced Practice Registered Nurse | 11017627 | 08/14/2025 |
| OROZCO, LUCIA M | Recovery | Registered Nurse | 9339939 | 02/02/2023 |
| ORTIZ, EVELYN | Anesthesia Provider | Advanced Practice Registered Nurse | 9258699 | 08/04/2026 |
| PADILLA VAZQUEZ, GRETHER | Anesthesia Provider | Advanced Practice Registered Nurse | 11018193 | 04/15/2026 |
| PARRADO, SINDY | Anesthesia Provider | Advanced Practice Registered Nurse | 11037213 | 03/06/2025 |
| PARRELLA, MAURICIO | Additional Surgical Staff | Unlicensed Facility Personnel | 09/21/2022 | |
| PASTORA, BEVERLY | Anesthesia Provider | Advanced Practice Registered Nurse | 9234018 | 01/18/2023 |
| PENA MUNIZ, ENIRELKA | Additional Surgical Staff | Unlicensed Facility Personnel | 04/15/2026 | |
| PEREZ, KENIA | Additional Surgical Staff | Unlicensed Facility Personnel | 07/08/2026 | |
| REINA MIRANDA, JULIA | Additional Surgical Staff | Unlicensed Facility Personnel | 02/28/2022 | |
| RIVAS, GABRY ANTONIO | Anesthesia Provider | Advanced Practice Registered Nurse | 11000769 | 11/12/2021 |
| ROMAGOZA, JOSE | Additional Surgical Staff | Unlicensed Facility Personnel | 12/09/2021 | |
| ROMAN, DAYMARI | Anesthesia Provider | Advanced Practice Registered Nurse | 11021371 | 06/28/2024 |
| ROSS, JENNIFER PAIGE | Anesthesia Provider | Advanced Practice Registered Nurse | 3143762 | 06/11/2025 |
| SAEZ CASTANEDA, DARWIN | Additional Surgical Staff | Unlicensed Facility Personnel | 04/17/2026 | |
| SINGH, UMAISH SHARMA | Anesthesia Provider | Advanced Practice Registered Nurse | 9329310 | 10/06/2026 |
| SOUEID, NASSIF ELIAS | Physician | Medical Doctor | 144499 | 02/05/2021 |
| TAMAYO MARTINEZ, GRETHER | Additional Surgical Staff | Unlicensed Facility Personnel | 04/23/2026 | |
| TEJEDOR, TANIA | Managing Employee | Unlicensed Facility Personnel | 02/05/2021 | |
| TEJEDOR, TANIA | Office Manager | Unlicensed Facility Personnel | 02/05/2021 | |
| VEGA, PAUL MICHAEL | Anesthesia Provider | Advanced Practice Registered Nurse | 11000770 | 10/16/2026 |
| VERA, CHRISTINA MARIA | Anesthesia Provider | Advanced Practice Registered Nurse | 9235599 | 11/18/2025 |
| VERA, JASON ERIC | Anesthesia Provider | Advanced Practice Registered Nurse | 9265255 | 10/19/2021 |
| YERA, GLADYS | Additional Surgical Staff | Unlicensed Facility Personnel | 04/08/2021 |
Click on the License Number to view License Details for that Practitioner
| Name | Relationship | Profession | License | Effective Date |
|---|
Click on the License Number to view License Details for that Practitioner
| Name | Relationship | Profession | License | Effective Date |
|---|
Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 10/22/2026
* To find out more about Approved Providers,
or ask a provider why the course you took is not yet listed,
please visit our Continuing Education Providers page.
** Personal Development is limited to no more than 3 hours per renewal cycle.
Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted
from the total available for renewal.
Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.
For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.