Light & Wellness Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME91436 Issued in FL

Legal business name

LIGHT & WELLNESS CENTER INC

Practice address

2711 SW 137TH Ave
Ste 85
Miami, FL 33175-6359

Phone

(786) 393-0457

Fax

(305) 551-1121

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Luis Lopez Mas, MD

Title

Medical Director

Phone

(786) 393-0457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1487076469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE",
            "address_2": "STE 85",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756359",
            "telephone_number": "786-393-0457",
            "fax_number": "305-551-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE",
            "address_2": "STE 85",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756359",
            "telephone_number": "786-393-0457",
            "fax_number": "305-551-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ MAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-393-0457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME91436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.