Organization Active NPI

Tamiami Wellness Club

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1619574092
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TAMIAMI WELLNESS CLUB
Practice address
14255 SW 42ND St # B-13
Miami, FL 33175-6408
Phone
(305) 982-8771
Fax
(305) 402-6110
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Siramad Sainz, MA
Title
Manager
Phone
(305) 982-8771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14255 SW 42ND St # B-13
Miami, FL 33175-6408

Mailing address

14255 SW 42ND St 13B
Miami, FL 33175-6408
Phone (305) 982-8771

Other identifiers 1

IdentifierTypeStateIssuer
108308300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@tamiamiwellness.com Direct

National Provider Directory

National Provider Directory

Locations

14255 SW 42nd St
#B13
Miami, FL 33175
Phone (305) 982-8771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1619574092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14255 SW 42ND ST 13B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756408",
            "telephone_number": "305-982-8771",
            "fax_number": "305-402-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14255 SW 42ND ST # B-13",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756408",
            "telephone_number": "305-982-8771",
            "fax_number": "305-402-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMIAMI WELLNESS CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "SAINZ",
        "authorized_official_first_name": "SIRAMAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-982-8771",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108308300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tamiamiwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14255 SW 42nd St # B-13",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331756408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 22, 2021; 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.