NPIMap

Organization Active NPI

Matmed LLC

Doing business as Miami Wellness

  • Interventional Pain Medicine Physician
  • Miami, FL
National Provider Identifier
1649793035
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME121707 Issued in FL
Legal business name
MATMED LLC
Doing business as
Miami Wellness
Practice address
8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631
Phone
(786) 808-8555
Fax
(786) 360-1100
NPI assigned
Jul 18, 2017
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Dr. Miguel Telleria, MDNPI 1467614636
Title
President
Phone
(305) 205-2306

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
Interventional Pain Medicine Physician 208VP0014X ME121707 FL Primary

Addresses

Primary practice location

8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631

Mailing address

9066 SW 73Rd CT PH 2404
Pinecrest, FL 33156-2972
Phone (786) 808-8555

Other practice location 1

7791 NW 146th St
Miami Lakes, FL 33016-1567
Phone (786) 808-8555

Other names 1

  • MIAMI WELLNESS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Matmed LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

  • Matmed

    dba Miami Wellness

    • Pain Medicine (Anesthesiology) Physician
    • Coral Gables, FL
    • NPI 1649962366
    NPD tax ID
  • Matmed LLC

    dba Miami Wellness

    • Pain Medicine (Anesthesiology) Physician
    • Miami, FL
    • NPI 1447783220
    NPD tax ID
  • Matmed LLC

    dba Miami Wellness

    • Pain Medicine (Anesthesiology) Physician
    • Miami Lakes, FL
    • NPI 1487346102
    NPD tax ID
  • Matmed LLC

    dba Miami Wellness

    • Pain Medicine (Anesthesiology) Physician
    • Homestead, FL
    • NPI 1750258133
    NPD tax ID
  • Matmed LLC

    dba Miami Wellness

    • Pain Medicine (Anesthesiology) Physician
    • Plantation, FL
    • NPI 1831874775
    NPD tax ID
  • Matmed LLC

    dba Miami Wellness

    • Pain Medicine (Anesthesiology) Physician
    • Orlando, FL
    • NPI 1841026606
    NPD tax ID
  • Matmed LLC

    dba Miami Wellness

    • Pain Medicine (Anesthesiology) Physician
    • Tampa, FL
    • NPI 1992531750
    NPD tax ID

Locations

7791 NW 146th St
Miami Lakes, FL 33016
Phone (786) 808-8555

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1649793035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9066 SW 73RD CT PH 2404",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562972",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7791 NW 146th St",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161567",
            "country_code": "US",
            "telephone_number": "786-808-8555",
            "fax_number": "305-967-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "TELLERIA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-205-2306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME121707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIAMI WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 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.