Bwell Clinical Research Corp.

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

Legal business name

BWELL CLINICAL RESEARCH CORP.

Practice address

10500 NW 26TH St # A102A
Doral, FL 33172-2158

Phone

(786) 953-8043

Fax

(305) 675-8060

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Jakse Sebastian Morejon

Title

President

Phone

(786) 942-8635

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1326650573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 NW 26TH ST # A102A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722158",
            "telephone_number": "786-953-8043",
            "fax_number": "305-675-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 NW 26TH ST # A102A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722158",
            "telephone_number": "786-953-8043",
            "fax_number": "305-675-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWELL CLINICAL RESEARCH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "MOREJON",
        "authorized_official_first_name": "JAKSE",
        "authorized_official_middle_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-942-8635"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Bustamante, FNP-BC
• Andrea Bustamante
• Johnny Bustamante
• Joan M Bustelo
• Javier Busutil, DPT
• Bwell Med Center Corp
• Bwell Medical Center Inc
• By Design Architecture
• C & C Family Care Corp
• C & C Therapy Center

• Research Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Research Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.