Wellness Walk DPM LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

WELLNESS WALK DPM LLC

Practice address

14332 NW 87TH CT
Miami Lakes, FL 33018-8044

Phone

(786) 630-0330

NPI assigned

May 19, 2022

Last updated

May 19, 2022By 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

Alejandro R Gonzalez Ballagas, DPMNPI 1417180159

Title

Owner

Phone

(786) 630-0330

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alejandro Ramon Gonzalez Ballagas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Coconut Creek, FL
  • NPI 1417180159
  Authorized official Same address or phone

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1578200564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14332 NW 87TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330188044",
            "telephone_number": "786-630-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14332 NW 87TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330188044",
            "telephone_number": "786-630-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WALK DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ BALLAGAS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-630-0330",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Miami Lakes, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.