Organization Active NPI

Angel Therapy Wellness Center Corp

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1609625342
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANGEL THERAPY WELLNESS CENTER CORP
Practice address
1897 W Flagler St
Miami, FL 33135-1939
Phone
(786) 956-9438
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Norma Bustamante
Title
President
Phone
(786) 956-9438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1897 W Flagler St
Miami, FL 33135-1939

Mailing address

1897 W Flagler St
Miami, FL 33135-1939
Phone (786) 956-9438

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1609625342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351939",
            "telephone_number": "786-956-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351939",
            "telephone_number": "786-956-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL THERAPY WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-956-9438"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 May 15, 2024; 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.