Organization Active NPI

Organic Well PLLC

  • Internal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1730877689
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ORGANIC WELL PLLC
Practice address
171 Edgewater Dr
Coral Gables, FL 33133-6912
Phone
(954) 494-6529
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Elizabeht Izalguez, MD
Title
President
Phone
(954) 494-6529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

171 Edgewater Dr
Coral Gables, FL 33133-6912

Mailing address

3109 Grand Ave # 229
Miami, FL 33133-5103

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1730877689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 GRAND AVE # 229",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 EDGEWATER DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331336912",
            "telephone_number": "954-494-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGANIC WELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "IZALGUEZ",
        "authorized_official_first_name": "ELIZABEHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-494-6529",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.