NPIMap

Organization Active NPI

Wellmax Health Medical Centers, LLC

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1508096736
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLMAX HEALTH MEDICAL CENTERS, LLC
Practice address
6540 Northwest 186 Street
Miami Lakes, FL 33015
Phone
(305) 820-2033
Fax
(305) 820-2032
NPI assigned
Jul 22, 2009
Organization subpart
Yes
Parent organization
WELLMAX HEALTH DELIVERY NETWORK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Miss Vanessa Villali
Title
Dir Practice Management
Phone
(305) 586-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6540 Northwest 186 Street
Miami Lakes, FL 33015

Mailing address

9250 W Flagler St Ste 600
Miami, FL 33174-3460
Phone (305) 448-8100

National Provider Directory

National Provider Directory
Tax ID family
Wellmax Health Medical Centers LLC11 organizations share this tax ID, including this one
Part of
Wellmax Health Medical Centers LLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6540 NW 186th St
Hialeah, FL 33015
Phone (305) 820-2033

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1508096736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 W FLAGLER ST STE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743460",
            "telephone_number": "305-448-8100",
            "fax_number": "305-444-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 NORTHWEST 186 STREET",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-820-2033",
            "fax_number": "305-820-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMAX HEALTH MEDICAL CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLMAX HEALTH DELIVERY NETWORK, LLC",
        "enumeration_date": "2009-07-22",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "VILLALI",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "DIR PRACTICE MANAGEMENT",
        "authorized_official_telephone_number": "305-586-7288",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

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