Iberostar Community Wellness Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IBEROSTAR COMMUNITY WELLNESS CENTER INC

Practice address

12963 W Okeechobee Rd Ste 4
Hialeah Gardens, FL 33018-6055

Phone

(786) 585-1406

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yunior Alfonso Montalvo

Title

Owner/President

Phone

(786) 585-1406

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1538715511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12963 W OKEECHOBEE RD STE 4",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330186055",
            "telephone_number": "786-585-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12963 W OKEECHOBEE RD STE 4",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330186055",
            "telephone_number": "786-585-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBEROSTAR COMMUNITY WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "ALFONSO MONTALVO",
        "authorized_official_first_name": "YUNIOR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "786-585-1406"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.