NCC Wellness Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NCC WELLNESS SERVICES LLC

Practice address

1886 SW 57TH Ave
Miami, FL 33155-2139

Phone

(786) 263-8726

NPI assigned

Jan 6, 2026

Last updated

Jan 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yaima Hurtado Soto

Title

VP

Phone

(786) 263-8726

Specialties & licenses 1

Addresses

Tax ID family

NCC Wellness Services LLC2 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.

• NCC Wellness Services LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1285429985
  NPD tax ID

Locations

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1306703939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552139",
            "telephone_number": "786-263-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552139",
            "telephone_number": "786-263-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCC WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "HURTADO SOTO",
        "authorized_official_first_name": "YAIMA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "786-263-8726"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.