Organization Active NPI

Get Well Family Practice Inc.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1487330171
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GET WELL FAMILY PRACTICE INC.
Practice address
3501 SW 107TH Ave
Miami, FL 33165-3634
Phone
(786) 238-7486
Fax
(786) 359-4767
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Mr. Juan Miguel Martinez
Title
President
Phone
(786) 474-7142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3501 SW 107TH Ave
Miami, FL 33165-3634

Mailing address

3501 SW 107TH Ave
Miami, FL 33165-3634
Phone (786) 238-7486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808002745 FL Part B Supplier - Clinic/Group Practice 1557723582 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2303003Get Well Family Practice Inc3501 SW 107TH Ave, Miami, FL 33165Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory

Locations

3501 SW 107th Ave
Miami, FL 33165
Phone (305) 229-1227

Practitioners & affiliated clinicians

Practitioners 5

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": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1487330171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653634",
            "telephone_number": "786-238-7486",
            "fax_number": "786-359-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653634",
            "telephone_number": "786-238-7486",
            "fax_number": "786-359-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GET WELL FAMILY PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-474-7142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "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 Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.