Santa Fe Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SANTA FE WELLNESS CENTER LLC

Practice address

7360 SW 24TH St Ste 17a
Miami, FL 33155-1482

Phone

(786) 570-3130

NPI assigned

May 23, 2020

Organization subpart

No

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

Authorized official

Name

Idelkis Gonzalez

Title

MBR

Phone

(305) 799-0183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590192000000",
    "number": "1356964498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 SW 24TH ST STE 17A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551482",
            "telephone_number": "786-570-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 SW 24TH ST STE 17A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551482",
            "telephone_number": "786-570-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IDELKIS",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "305-799-0183"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.