Organization Active NPI

Fenix Wellness, LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1295542694
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FENIX WELLNESS, LLC
Practice address
9855 E Fern St
Miami, FL 33157-5413
Phone
(786) 404-1008
NPI assigned
Dec 18, 2024
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Adanys Alonso-Alfonso
Title
VP
Phone
(305) 469-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9855 E Fern St
Miami, FL 33157-5413

Mailing address

9855 E Fern St
Palmetto Bay, FL 33157-5413
Phone (786) 404-1008

Other practice location 1

9861 E Fern St
Palmetto Bay, FL 33157-5413
Phone (786) 404-1008

Other practice location 2

600 NW 35th Ave
Miami, FL 33125-4000
Phone (786) 404-1008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213000947 FL Part B Supplier - Clinic/Group Practice 8325578818 Receives reassigned benefits from 2 practitioners
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory
Tax ID family
Fenix Wellness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 NW 35th Ave
Miami, FL 33125
Phone (305) 631-9875

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1295542694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 E FERN ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575413",
            "telephone_number": "786-404-1008",
            "fax_number": "786-220-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 E FERN ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575413",
            "telephone_number": "786-404-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9861 E Fern St",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331575413",
            "country_code": "US",
            "telephone_number": "786-404-1008",
            "fax_number": "786-220-1525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 NW 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331254000",
            "country_code": "US",
            "telephone_number": "786-404-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FENIX WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "ALONSO-ALFONSO",
        "authorized_official_first_name": "ADANYS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-469-1722"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 2, 2025; 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.