NPIMap

Organization Active NPI

Elleven Wellness Center, Inc.

  • Rehabilitation Clinic/Center
  • Doral, FL
National Provider Identifier
1508266677
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ELLEVEN WELLNESS CENTER, INC.
Practice address
3900 NW 79TH Ave Ste 515
Doral, FL 33166-6549
Phone
(786) 534-7709
NPI assigned
Aug 26, 2014
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Victoria Almeida, LMT
Title
Owner
Phone
(786) 534-7709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 515
Doral, FL 33166-6549

Mailing address

3900 NW 79TH Ave Ste 515
Doral, FL 33166-6549
Phone (786) 534-7709

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1508266677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 515",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666549",
            "telephone_number": "786-534-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 515",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666549",
            "telephone_number": "786-534-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEVEN WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "ALMEIDA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-534-7709",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.