Organization Active NPI

Well-Being Medical Center PLLC

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1265075022
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELL-BEING MEDICAL CENTER PLLC
Practice address
851 5TH Ave N Ste 102
Naples, FL 34102-5582
Phone
(239) 315-7801
Fax
(239) 919-8841
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Ricardo Martinez, MDNPI 1003128828
Title
Authorized Official
Phone
(239) 315-7801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

851 5TH Ave N Ste 102
Naples, FL 34102-5582

Mailing address

851 5TH Ave N Ste 102
Naples, FL 34102-5582
Phone (239) 315-7801

Other identifiers 3

IdentifierTypeStateIssuer
L1428OtherFLMEDICARE
104729800MedicaidFL
ROVYLOtherFLBCBS FL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191231002182 FL Part B Supplier - Clinic/Group Practice 8921432824 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2193938Well-Being Medical Center PLLC851 5TH Ave N Ste 102, Naples, FL 34102Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Locations

851 5th Ave N
Ste 102
Naples, FL 34102
Phone (239) 315-7801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20762/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1265075022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 5TH AVE N STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025582",
            "telephone_number": "239-315-7801",
            "fax_number": "239-919-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 5TH AVE N STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025582",
            "telephone_number": "239-315-7801",
            "fax_number": "239-919-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-BEING MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "239-315-7801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "L1428",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104729800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "ROVYL",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.