Wellness Medical Clinic and Geriatric Center Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME73704 Issued in FL

Legal business name

WELLNESS MEDICAL CLINIC AND GERIATRIC CENTER INC

Practice address

12741 Miramar Pkwy
Building 2, Suite 104
Miramar, FL 33027-2903

Phone

(954) 392-9993

Fax

(954) 392-5559

NPI assigned

Jan 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yavir M. Escovar, M.D.NPI 1831185727

Title

Physician

Phone

(954) 392-9993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yavir M. Escovar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Miramar, FL
  • NPI 1831185727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1033395041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY",
            "address_2": "BUILDING 2, SUITE 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272903",
            "telephone_number": "954-392-9993",
            "fax_number": "954-392-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY",
            "address_2": "BUILDING 2, SUITE 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272903",
            "telephone_number": "954-392-9993",
            "fax_number": "954-392-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL CLINIC AND GERIATRIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "ESCOVAR",
        "authorized_official_first_name": "YAVIR",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-392-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME73704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence D Weiner, DC
• Linda Maria Weisberg
• Malka R Weiss, RD
• Welby Health Medical Group, PLLC
• Wellness & Pain Rehab Centers, Inc.
• Jingyi Weng
• West Dixie Medical Staffing LLC
• West Ky Abrams DO PA
• West Side Pediatric Dentistry PA
• Tyler J. West, M.D.

• Primary Care Clinic/Center in Miramar, FL
• Providers in Miramar, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.