Organization Active NPI

Abraham Wellness Center

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1508205089
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MA57988 Issued in FL
Legal business name
ABRAHAM WELLNESS CENTER
Practice address
6801 NW 77TH Ave Ste 306C
Miami, FL 33166-2848
Phone
(786) 523-3042
Fax
(305) 675-3793
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Noel Rodriguez
Title
President
Phone
(786) 523-3042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA57988 FL Primary

Addresses

Primary practice location

6801 NW 77TH Ave Ste 306C
Miami, FL 33166-2848

Mailing address

6801 NW 77TH Ave Ste 306C
Miami, FL 33166-2848
Phone (786) 523-3042

National Provider Directory

National Provider Directory

Locations

6801 NW 77th Ave
Ste 306C
Miami, FL 33166
Phone (786) 523-3042

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1508205089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 NW 77TH AVE STE 306C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662848",
            "telephone_number": "786-523-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NW 77TH AVE STE 306C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662848",
            "telephone_number": "786-523-3042",
            "fax_number": "305-675-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-523-3042"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MA57988",
            "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 19, 2013; 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.