Organization Active NPI

Downtown Wellness Center Corp.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1386735272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC6760 Issued in FL
Legal business name
DOWNTOWN WELLNESS CENTER CORP.
Practice address
210 NE 18TH St Ste 2
Miami, FL 33132-1118
Phone
(305) 372-2390
Fax
(305) 372-2460
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Walter J Gordillo
Title
President
Phone
(305) 372-2390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X HCC6760 FL Primary

Addresses

Primary practice location

210 NE 18TH St Ste 2
Miami, FL 33132-1118

Mailing address

210 NE 18TH St Ste 2
Miami, FL 33132-1118
Phone (305) 372-2390

National Provider Directory

National Provider Directory

Locations

210 NE 18th St
Stop 2
Miami, FL 33132
Phone (305) 372-2390

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386735272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NE 18TH ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321118",
            "telephone_number": "305-372-2390",
            "fax_number": "305-372-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NE 18TH ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321118",
            "telephone_number": "305-372-2390",
            "fax_number": "305-372-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN WELLNESS CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDILLO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-372-2390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC6760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.