Organization Active NPI

Wound-Well LLC

  • Community Health Clinic/Center
  • Miami, FL
National Provider Identifier
1639863145
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
WOUND-WELL LLC
Practice address
10501 SW 126TH Ave
Miami, FL 33186-3658
Phone
(305) 916-1965
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Ernesto Garcia, APRNNPI 1205591096
Title
Owner
Phone
(305) 916-1965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

10501 SW 126TH Ave
Miami, FL 33186-3658

Mailing address

10501 SW 126TH Ave
Miami, FL 33186-3658
Phone (305) 916-1965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231003002139 FL Part B Supplier - Clinic/Group Practice 1456705862 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL; Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2400 E Commercial Blvd
Ste 218
Ft Lauderdale, FL 33308
Phone (305) 334-6163

Practitioners & affiliated clinicians

Practitioners 5

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": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1639863145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 SW 126TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863658",
            "telephone_number": "305-916-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 SW 126TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863658",
            "telephone_number": "305-916-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND-WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-916-1965",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community 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 Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.