Ra Family Wellness Institute Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RA FAMILY WELLNESS INSTITUTE INC

Practice address

12490 NE 7TH Ave Ste 202
North Miami, FL 33161-5660

Phone

(954) 779-0683

NPI assigned

Oct 29, 2024

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jorge D Valdes, M.D

Title

President

Phone

(954) 779-0683

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1013739200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12490 NE 7TH AVE STE 202",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615660",
            "telephone_number": "954-779-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 NE 7TH AVE STE 202",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615660",
            "telephone_number": "954-779-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA FAMILY WELLNESS INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-779-0683",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in North Miami, FL
• Providers in North Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.