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MIAMI LIFE PLASTIC SURGERY CORP

Miami Life Plastic Surgery

License Number: OSR1562

Data As Of 4/24/2025

Profession
Office Surgery Registration
License
OSR1562
License Status
CLEAR/
Qualifications
Surgery w moderate/conscious to deep sedation
License Expiration Date
License Original Issue Date
02/05/2021
Address of Record
8686 CORAL WAY
MIAMI, FL 33155
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
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
ALONSO, CLAUDIA Anesthesia Provider Advanced Practice Registered Nurse 11005614 09/06/2023
AMOR, MIGUEL ANGEL Anesthesia Provider Advanced Practice Registered Nurse 9296021 07/08/2024
ANTOINE, STEVE Anesthesia Provider Advanced Practice Registered Nurse 11006057 03/12/2025
ARMAS CEPERO, KATHERIN Anesthesia Provider Advanced Practice Registered Nurse 11015169 01/26/2022
BROCK, STEVEN DANIEL Anesthesia Provider Advanced Practice Registered Nurse 9266958 01/01/2025
BROWN, STEPHANIE MARIA Anesthesia Provider Advanced Practice Registered Nurse 11007016 07/10/2024
CAMERO, YASEL Additional Surgical Staff Unlicensed Facility Personnel 09/13/2021
CARRENO, GABRIEL Additional Surgical Staff Unlicensed Facility Personnel 02/05/2021
CHAVEZ, CAMILLE DENISE Physician Medical Doctor 68329 03/30/2021
CORNISH, ALEXANDRA MARIA MS Anesthesia Provider Advanced Practice Registered Nurse 9243777 12/05/2023
DARMAS, MICHAEL EMILE JR Anesthesia Provider Advanced Practice Registered Nurse 11010859 11/21/2023
DEAN, VIVIANE A Anesthesia Provider Advanced Practice Registered Nurse 9279190 05/14/2024
DEL RISCO, JESUS LAZARO Anesthesia Provider Advanced Practice Registered Nurse 2512552 04/16/2021
DIEGUEZ, LOURDES Anesthesia Provider Advanced Practice Registered Nurse 3117612 07/10/2024
DIETSCH, GABRIEL Anesthesia Provider Advanced Practice Registered Nurse 9248348 11/21/2023
DOMINGO, CYNTHIA DUMAPIT Anesthesia Provider Advanced Practice Registered Nurse 9272028 11/09/2023
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
FALERO DURAN, LUIS X Anesthesia Provider Advanced Practice Registered Nurse 11012517 09/13/2021
FERNANDEZ AGUILAR, EDUARDO Additional Surgical Staff Unlicensed Facility Personnel 09/11/2024
FREITAS, CARLOS JESUS MRS Anesthesia Provider Advanced Practice Registered Nurse 9279188 01/10/2023
FREITAS, RAQUEL MRS 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
GARCIA, HECTOR Additional Surgical Staff Unlicensed Facility Personnel 09/21/2022
GIBSON, JENNIFER Anesthesia Provider Advanced Practice Registered Nurse 11032768 01/01/2025
GUEVARA, ISABEL Additional Surgical Staff Unlicensed Facility Personnel 02/05/2021
HINESTROZA FINOL, DILMO Additional Surgical Staff Unlicensed Facility Personnel 12/20/2022
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 M D Physician Medical Doctor 11729 05/12/2021
LAM, SENG FOOK Anesthesia Provider Advanced Practice Registered Nurse 9174422 06/10/2024
LEHMAN, KYLE Anesthesia Provider Advanced Practice Registered Nurse 11002549 06/05/2024
LEON VIDAL, LISSET Additional Surgical Staff Unlicensed Facility Personnel 12/08/2022
LEON, MIGUEL ANGEL Anesthesia Provider Advanced Practice Registered Nurse 9176554 12/12/2024
LUGO TORRES, JENNIFER Anesthesia Provider Advanced Practice Registered Nurse 11006165 01/28/2024
MASTRAPA, JORGE LUIS Anesthesia Provider Advanced Practice Registered Nurse 3337822 10/17/2024
MAYAUDON GRAU, JANETT Additional Surgical Staff Unlicensed Facility Personnel 05/16/2022
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 MD Designated Physician Medical Doctor 33414 02/04/2025
MENDIZABAL, MANUEL RAMON S MD Physician Medical Doctor 33414 02/04/2025
MILLER, MICHAEL LEE Physician Medical Doctor 98427 09/12/2022
MUNOZ, DANNY RENE Anesthesia Provider Advanced Practice Registered Nurse 9311468 05/26/2021
NWOKOCHA, ONYEKA Physician Medical Doctor 136750 08/08/2023
OROZCO, LUCIA M Recovery Registered Nurse 9339939 02/02/2023
ORTIZ, EVELYN Anesthesia Provider Advanced Practice Registered Nurse 9258699 10/19/2021
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
PINEIRO FERNANDEZ, CLARA Additional Surgical Staff Unlicensed Facility Personnel 04/04/2024
PINEIRO, MARA Additional Surgical Staff Unlicensed Facility Personnel 04/04/2024
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
SALAZAR, MARYBETH Additional Surgical Staff Unlicensed Facility Personnel 05/04/2023
SHEPHERD, DEREK Recovery Registered Nurse 9667554 10/29/2024
SOUEID, NASSIF ELIAS Physician Medical Doctor 144499 02/05/2021
TEJEDOR, TANIA Managing Employee Unlicensed Facility Personnel 02/05/2021
TEJEDOR, TANIA Office Manager Unlicensed Facility Personnel 02/05/2021
VARGAS, JESSICA Additional Surgical Staff Unlicensed Facility Personnel 08/11/2021
VELIZ OLIVERA, JOSE Additional Surgical Staff Unlicensed Facility Personnel 02/28/2022
VERA, JASON ERIC Anesthesia Provider Advanced Practice Registered Nurse 9265255 10/19/2021
WEEKES, KATRIYA Anesthesia Provider Advanced Practice Registered Nurse 9214727 09/13/2021
WHITTWELL, HENRY Anesthesia Provider Advanced Practice Registered Nurse 11006149 04/28/2024
YERA, GLADYS Additional Surgical Staff Unlicensed Facility Personnel 04/08/2021

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/25/2025



* 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.