Organization Active NPI

Corinthians Primary Care and Wellness LLC

  • Primary Care Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1104774264
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CORINTHIANS PRIMARY CARE AND WELLNESS LLC
Practice address
2221 N University Dr Ste B
Pembroke Pines, FL 33024-3603
Phone
(728) 205-1544
Fax
(728) 666-0737
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Authorized official

Name
Madelyn Roque Garcia, MSN, APRN, FNP-CNPI 1356138911
Title
Owner
Phone
(728) 205-1544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2221 N University Dr Ste B
Pembroke Pines, FL 33024-3603

Mailing address

2221 N University Dr Ste B
Pembroke Pines, FL 33024-3603
Phone (728) 205-1544

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2344872Corinthians Primary Care and Wellness LLC2221 N University Drive Unit B, Pembroke Pines, FL 33024Certificate of waiverMay 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1104774264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 N UNIVERSITY DR STE B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243603",
            "telephone_number": "728-205-1544",
            "fax_number": "728-666-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 N UNIVERSITY DR STE B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243603",
            "telephone_number": "728-205-1544",
            "fax_number": "728-666-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTHIANS PRIMARY CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "ROQUE GARCIA",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "728-205-1544",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.