Active NPI
Wave Medical Center Inc
- General Practice Physician
- Miami, FL
National Provider Identifier
1134855976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- SW Ranches, FL
- NPI 1740231075
-
- Nurse Practitioner
- Miami, FL
- NPI 1396215331
-
- Psychiatry Physician
- Miami, FL
- NPI 1366949737
-
- Occupational Therapist
- Miami, FL
- NPI 1972644151
-
- Family Nurse Practitioner
- Sarasota, FL
- NPI 1982367769
-
- Internal Medicine Physician
- Bartow, FL
- NPI 1528374550
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.