NPIMap

Organization Active NPI

New Life Wellness Group Inc

  • Community Health Clinic/Center
  • Miami, FL
National Provider Identifier
1417535774
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
NEW LIFE WELLNESS GROUP INC
Practice address
10631 SW 88TH St Ste 280
Miami, FL 33176-1730
Phone
(305) 812-2891
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Kazandra RodriguezNPI 1497472286
Title
MGR
Phone
(305) 812-2891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

10631 SW 88TH St Ste 280
Miami, FL 33176-1730

Mailing address

10631 SW 88TH St Ste 280
Miami, FL 33176-1730
Phone (305) 812-2891

National Provider Directory

National Provider Directory

Locations

10631 SW 88th St
Ste 280
Miami, FL 33176
Phone (305) 812-2891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1417535774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10631 SW 88TH ST STE 280",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761730",
            "telephone_number": "305-812-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 SW 88TH ST STE 280",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761730",
            "telephone_number": "305-812-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE WELLNESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KAZANDRA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-812-2891"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "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 Mar 30, 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.