Hathor Wellcare Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HATHOR WELLCARE CENTER INC

Practice address

13335 SW 124TH St Ste 206
Miami, FL 33186-7515

Phone

(786) 429-1495

Fax

(786) 227-6780

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Rafael Fajardo Pompa, MASSAGE THERAPIST

Title

Owner/President

Phone

(786) 452-1751

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Yaima Izquierdo Garzon

  • Cognitive & Behavioral Psychologist
  • Miami, FL
  • NPI 1225601289
  NPD
• Yamila Diaz de Villegas, FNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1275106239
  NPD (past)

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1093254716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "786-429-1495",
            "fax_number": "786-227-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "786-429-1495",
            "fax_number": "786-227-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHOR WELLCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "FAJARDO POMPA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "786-452-1751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Caroline Hassor, MD
• Cydne Victoria Hastings, DO
• Anna Hasty, DPM
• Jan Marian Hasyn, PHYSICIAN ASSISTANT
• Matthew Gerard Hatcher, APRN
• Hathor Wellcare Center Inc
• Paola Hatton, MS ED
• Hatzalah South Florida Emergency Medical Services, Inc
• Dennise Haughton
• Haureen Medical Services & Supply, Inc.

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.