Organization Active NPI

Wellness Community & Medical Inc

  • Community/Behavioral Health Agency
  • Hialeah, FL
National Provider Identifier
1407434053
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLNESS COMMUNITY & MEDICAL INC
Practice address
946 E 25TH St
Hialeah, FL 33013-3404
Phone
(786) 536-6625
Fax
(786) 280-1900
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Maria de Los Angeles Cruz
Title
President
Phone
(786) 536-6625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

946 E 25TH St
Hialeah, FL 33013-3404

Mailing address

946 E 25TH St
Hialeah, FL 33013-3404
Phone (786) 536-6625

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1407434053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133404",
            "telephone_number": "786-536-6625",
            "fax_number": "786-280-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133404",
            "telephone_number": "786-536-6625",
            "fax_number": "786-280-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COMMUNITY & MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARIA DE LOS ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-536-6625"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.