Primary Wellness Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

HCC9174 Issued in FL

Legal business name

PRIMARY WELLNESS CENTER

Practice address

6445 SW 8TH St
West Miami, FL 33144-4813

Phone

(305) 982-8471

Fax

(305) 982-8572

NPI assigned

Jun 3, 2011

Organization subpart

No

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

Authorized official

Name

Jose R Perez, LMT

Title

President

Phone

(305) 982-8471

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1447544747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444813",
            "telephone_number": "305-982-8471",
            "fax_number": "305-982-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444813",
            "telephone_number": "305-982-8471",
            "fax_number": "305-982-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-982-8471",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "HCC9174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA CERTIFICATION",
            "identifier": "HCC9174",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pino Pharmacy Corp.
• Vicente Alfredo Planells
• Podortis Corporation
• Ines Poggiani Llanes
• Luz Elena Pomares Gil
• Psych & Med Corp
• Publix Super Markets Inc
• Liana Puig, D.D.S.
• Carmen Rabassa
• Aylin Rabi

• Physical Medicine & Rehabilitation Physician in West Miami, FL
• Providers in West Miami, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.