Organization Active NPI

Zeus Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Doral, FL
National Provider Identifier
1114788635
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ZEUS WELLNESS CENTER LLC
Practice address
7855 NW 12TH St Ste 219
Doral, FL 33126-1819
Phone
(786) 803-8304
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Miguel Araque
Title
Owner
Phone
(786) 616-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7855 NW 12TH St Ste 219
Doral, FL 33126-1819

Mailing address

7855 NW 12TH St Ste 219
Doral, FL 33126-1819
Phone (786) 803-8304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912000518 FL Part B Supplier - Clinic/Group Practice 6709326184 Receives reassigned benefits from 1 practitioner
Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Locations

7855 NW 12th St
Ste 219
Doral, FL 33126
Phone (786) 803-8304

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1114788635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 219",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261819",
            "telephone_number": "786-803-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 219",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261819",
            "telephone_number": "786-803-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEUS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "ARAQUE",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-616-9400"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.