Organization Active NPI

Energy Yoga & Wellness LLC

  • Psychiatry Physician
  • Doral, FL
National Provider Identifier
1710452446
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ENERGY YOGA & WELLNESS LLC
Practice address
11402 NW 41St St Ste 225
Doral, FL 33178-4859
Phone
(305) 486-3270
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Mr. David Yglesias, RYT500E
Title
President
Phone
(305) 562-7051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

11402 NW 41St St Ste 225
Doral, FL 33178-4859

Mailing address

5440 NW 104TH CT
Doral, FL 33178-2684
Phone (305) 562-7051

National Provider Directory

National Provider Directory

Locations

11402 NW 41st St
Ste 225
Doral, FL 33178
Phone (305) 486-3270

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1710452446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 NW 104TH CT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782684",
            "telephone_number": "305-562-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 NW 41ST ST STE 225",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784859",
            "telephone_number": "305-486-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY YOGA & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "YGLESIAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-562-7051",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RYT500E"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.