Organization Active NPI

Wellness Florida Medical Center

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1467863753
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME 66588 Issued in FL
Legal business name
WELLNESS FLORIDA MEDICAL CENTER
Practice address
8900 Coral Way Ste 202
Miami, FL 33165-2075
Phone
(786) 368-3187
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Dr. Rafael S Grillo, M.D.
Title
Owner
Phone
(786) 368-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME 66588 FL Primary

Addresses

Primary practice location

8900 Coral Way Ste 202
Miami, FL 33165-2075

Mailing address

8900 Coral Way Ste 202
Miami, FL 33165-2075
Phone (786) 368-3187

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1467863753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 CORAL WAY STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652075",
            "telephone_number": "786-368-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 CORAL WAY STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652075",
            "telephone_number": "786-368-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FLORIDA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-368-3187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME 66588",
            "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 May 8, 2014; 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.