Active NPI
Well-Being Community Center, Corp.
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WELL-BEING COMMUNITY CENTER, CORP.
- Practice address
- 2706 W St Isabel St
Tampa, FL 33607-6382 - Phone
- (813) 769-9571
- Fax
- (813) 492-8843
- NPI assigned
- Nov 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Margarita De la Rosa
- Title
- Ceo
- Phone
- (813) 769-9571
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| General Practice Physician | 208D00000X | |||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
2706 W St Isabel St
Tampa, FL 33607-6382
Mailing address
2706 W St Isabel St
Tampa, FL 33607-6382
Phone (813) 769-9571
Other practice location 1
2706 W Saint Isabel St
Tampa, FL 33607-6382
Phone (813) 769-9571 ext. 78631
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101692101 | Medicaid | FL | |
| 105731200 | Medicaid | FL | |
| 105731201 | Medicaid | FL | |
| 105430400 | Medicaid | FL | |
| 023311300 | Medicaid | FL | |
| 105482700 | Medicaid | FL | |
| 101692100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2181435 | Well-Being Community Center Corp | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
3414 W 84th St
Ste 100
Hialeah Gardens, FL 33018
Phone (786) 313-3558
2706 W Saint Isabel St
Ste A
Tampa, FL 33607
Phone (813) 870-3665
2706 W Saint Isabel St
Tampa, FL 33607
Phone (813) 769-9571
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Tampa, FL
- NPI 1841235926
-
- Nurse Practitioner
- Tampa, FL
- NPI 1538647672
-
- Internal Medicine Physician
- Largo, FL
- NPI 1881889467
-
- Family Medicine Physician
- Tampa, FL
- NPI 1477256964
-
- Social Worker
- Hialeah Gardens, FL
- NPI 1619640455
-
- Mental Health Counselor
- Hialeah Gardens, FL
- NPI 1598904443
-
- Social Worker
- Hialeah Gardens, FL
- NPI 1538792577
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1306479340
-
- Behavior Analyst
- Seffner, FL
- NPI 1053825257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659312000000",
"number": "1114430949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 W ST ISABEL ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076382",
"telephone_number": "813-769-9571",
"fax_number": "813-492-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 W ST ISABEL ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076382",
"telephone_number": "813-769-9571",
"fax_number": "813-492-8843"
}
],
"practiceLocations": [
{
"address_1": "2706 W Saint Isabel St",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076382",
"country_code": "US",
"telephone_number": "813-769-9571 x78631",
"fax_number": "813-492-8843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELL-BEING COMMUNITY CENTER, CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-15",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A",
"authorized_official_last_name": "DE LA ROSA",
"authorized_official_first_name": "MARGARITA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-769-9571",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101692101",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105731200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105731201",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105430400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023311300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105482700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101692100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.