Active NPI
Genesis Wellness Support Corp
- Case Management Agency
- Cutler Bay, FL
National Provider Identifier
1235993155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- GENESIS WELLNESS SUPPORT CORP
- Practice address
- 10700 Caribbean Blvd Ste 214
Cutler Bay, FL 33189-1233 - Phone
- (786) 207-1151
- Fax
- (786) 221-2834
- NPI assigned
- Feb 12, 2024
- 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
- Yiscel Maria M Pascual Bermudez, CBHCMS
- Title
- Owner
- Phone
- (786) 207-1151
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
10700 Caribbean Blvd Ste 214
Cutler Bay, FL 33189-1233
Mailing address
9333 SW 227TH St Unit 1
Cutler Bay, FL 33190-1947
Phone (786) 740-0516
National Provider Directory
National Provider DirectoryLocations
12651 S Dixie Hwy
Ste 309
Pinecrest, FL 33156
Phone (786) 399-3810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Cutler Bay, FL
- NPI 1174085419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1235993155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9333 SW 227TH ST UNIT 1",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331901947",
"telephone_number": "786-740-0516",
"fax_number": "786-221-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 CARIBBEAN BLVD STE 214",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331891233",
"telephone_number": "786-207-1151",
"fax_number": "786-221-2834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS WELLNESS SUPPORT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-12",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "PASCUAL BERMUDEZ",
"authorized_official_first_name": "YISCEL MARIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-207-1151",
"authorized_official_credential": "CBHCMS"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.