Organization Active NPI

Coral Gables Wellness Center, Inc

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1376931873
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CORAL GABLES WELLNESS CENTER, INC
Practice address
10305 NW 41St St Ste 107
Doral, FL 33178-2975
Phone
(305) 418-2385
Fax
(305) 418-1888
NPI assigned
Jan 6, 2015
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Mirlet Perez
Title
President / Owner
Phone
(786) 597-4721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10305 NW 41St St Ste 107
Doral, FL 33178-2975

Mailing address

10305 NW 41St St Ste 107
Doral, FL 33178-2975
Phone (305) 418-2385

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1376931873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 107",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782975",
            "telephone_number": "305-418-2385",
            "fax_number": "305-418-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 107",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782975",
            "telephone_number": "305-418-2385",
            "fax_number": "305-418-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL GABLES WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MIRLET",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "786-597-4721"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.