Organization Active NPI

Wave Medical Center Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1134855976
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WAVE MEDICAL CENTER INC
Practice address
8260 W Flagler St Ste 26
Miami, FL 33144-2069
Phone
(786) 300-2323
Fax
(305) 221-5665
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Dianelys Mourelles Cabrera
Title
President
Phone
(786) 300-2323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

8260 W Flagler St Ste 26
Miami, FL 33144-2069

Mailing address

8260 W Flagler St Ste 26
Miami, FL 33144-2069
Phone (786) 783-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802001365 FL Part B Supplier - Clinic/Group Practice 9133501539 Receives reassigned benefits from 6 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8260 W Flagler St
Ste 26
Miami, FL 33144
Phone (786) 300-2323

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1134855976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 26",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-783-3434",
            "fax_number": "305-221-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 26",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-300-2323",
            "fax_number": "305-221-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "MOURELLES CABRERA",
        "authorized_official_first_name": "DIANELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-300-2323"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.