Organization Active NPI

Miracle Wellness Center Inc.

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1366752479
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
MIRACLE WELLNESS CENTER INC.
Practice address
9370 SW 72ND St
Suite A280
Miami, FL 33173-5431
Phone
(305) 456-0798
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mrs. Zalma M Marino
Title
President
Phone
(305) 456-0798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

9370 SW 72ND St
Suite A280
Miami, FL 33173-5431

Mailing address

9370 SW 72ND St
Suite A280
Miami, FL 33173-5431
Phone (305) 456-0798

Other names 1

  • Miracle Wellness Center, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1366752479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST",
            "address_2": "SUITE A280",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735431",
            "telephone_number": "305-456-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST",
            "address_2": "SUITE A280",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735431",
            "telephone_number": "305-456-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "ZALMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-456-0798",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Wellness Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 8, 2010; 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.