Wellness Healthcare Clinic Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC10703 Issued in FL

Legal business name

WELLNESS HEALTHCARE CLINIC CORP

Practice address

8180 NW 36TH St
Ste 213
Doral, FL 33166-6645

Phone

(785) 994-9500

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Jose R Cabrera

Title

President

Phone

(305) 994-9500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1528512456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "STE 213",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "785-994-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "STE 213",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "785-994-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HEALTHCARE CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-994-9500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.