Active NPI
Medfamily Wellcare Center Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Doral, FL
National Provider Identifier
1124612239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Doral, FL
- NPI 1790440683
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.