Mama's on Wheels LLC

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

MAMA'S ON WHEELS LLC

Practice address

111 SW 3Rd St Ste PH
Miami, FL 33130-1926

Phone

(305) 395-8099

NPI assigned

Dec 29, 2021

Last updated

Dec 29, 2021By 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

Mr. Borja Fabregas

Title

Ceo

Phone

(305) 395-8099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1376203505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW 3RD ST STE PH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301926",
            "telephone_number": "305-395-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW 3RD ST STE PH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301926",
            "telephone_number": "305-395-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA'S ON WHEELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "FABREGAS",
        "authorized_official_first_name": "BORJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-395-8099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leopoldo Malvezzi, MD
• Jessica Malvicino, LMHC
• Maly's Special Support Inc
• Mam Behavior Therapy, LLC
• Mama by Nature, LLC
• Mamay in Bloom Counseling LLC
• Zujaila Mambuca
• Frezer Terefe Mame, M.D
• Mammha Care LLC
• Geidy Mamposo

• Medical Foods Supplier in Miami, FL
• Providers in Miami, FL by specialty
• Medical Foods Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.