Organization Active NPI

Endocrinology Wellness Institute

  • Medical Specialty Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1083020895
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME100283 Issued in FL
Legal business name
ENDOCRINOLOGY WELLNESS INSTITUTE
Practice address
550 SE 6TH Ave # 200X
Delray Beach, FL 33483-5306
Phone
(561) 600-2408
Fax
(561) 600-2414
NPI assigned
Jul 1, 2014
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Vanessa Rodriguez, MDNPI 1427017441
Title
President
Phone
(765) 404-4136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME100283 FL Primary

Addresses

Primary practice location

550 SE 6TH Ave # 200X
Delray Beach, FL 33483-5306

Mailing address

550 SE 6TH Ave # 200X
Delray Beach, FL 33483-5306
Phone (561) 600-2408

Other identifiers 1

IdentifierTypeStateIssuer
281264900MedicaidFL

National Provider Directory

National Provider Directory

Locations

13660 S Jog Rd
Ste 2
Delray Beach, FL 33446

14000 S Military Trl
Ste 108
Delray Beach, FL 33484
Phone (561) 600-0240

550 SE 6th Ave
#200X
Delray Beach, FL 33483
Phone (561) 600-2408

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1083020895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SE 6TH AVE # 200X",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835306",
            "telephone_number": "561-600-2408",
            "fax_number": "561-600-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SE 6TH AVE # 200X",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835306",
            "telephone_number": "561-600-2408",
            "fax_number": "561-600-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-404-4136",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME100283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281264900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.