NPIMap

Organization Active NPI

Garcia Wellness,PA

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1205376506
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9303206 Issued in FL
Legal business name
GARCIA WELLNESS,PA
Practice address
4119 W 9TH LN
Hialeah, FL 33012-7266
Phone
(786) 370-1740
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Miss Mercedes Garcia, ARNP
Title
FNP
Phone
(305) 667-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9303206 FL Primary

Addresses

Primary practice location

4119 W 9TH LN
Hialeah, FL 33012-7266

Mailing address

4119 W 9TH LN
Hialeah, FL 33012-7266
Phone (786) 370-1740

Other identifiers 1

IdentifierTypeStateIssuer
1831640150OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Garcia Wellness Arnp PA2 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.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1205376506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W 9TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127266",
            "telephone_number": "786-370-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W 9TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127266",
            "telephone_number": "786-370-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARCIA WELLNESS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "305-667-1080",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "9303206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE  SHIELD",
            "identifier": "1831640150",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.