Organization Active NPI

Medfamily Wellcare Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Doral, FL
National Provider Identifier
1124612239
Registry record updated Mar 6, 2021
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
MEDFAMILY WELLCARE CENTER INC
Practice address
8725 NW 18TH Ter Ste 312
Doral, FL 33172-2610
Phone
(305) 926-5023
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Authorized official

Name
Orestes Alfonso
Title
Director
Phone
(305) 926-5023

Specialties & licenses 1

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

Addresses

Primary practice location

8725 NW 18TH Ter Ste 312
Doral, FL 33172-2610

Mailing address

8725 NW 18TH Ter Ste 312
Doral, FL 33172-2610
Phone (305) 926-5023

National Provider Directory

National Provider Directory
Tax ID family
Medfamily Wellcare Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8725 NW 18th Ter
Ste 312
Doral, FL 33172
Phone (305) 926-5023

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1124612239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 NW 18TH TER STE 312",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722610",
            "telephone_number": "305-926-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 NW 18TH TER STE 312",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722610",
            "telephone_number": "305-926-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFAMILY WELLCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "ORESTES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-926-5023"
    },
    "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 Mar 6, 2021; 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.