Organization Active NPI

Zoom Wellness MD, Inc.

  • Health & Wellness Coach
  • Boca Raton, FL
National Provider Identifier
1750046579
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
ZOOM WELLNESS MD, INC.
Practice address
844 Broken Sound Pkwy NW Apt 304
Boca Raton, FL 33487-3664
Phone
(954) 612-7709
NPI assigned
Nov 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Mr. Marcos Valentino Martinez
Title
Owner/Ceo
Phone
(954) 612-7709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

844 Broken Sound Pkwy NW Apt 304
Boca Raton, FL 33487-3664

Mailing address

844 Broken Sound Pkwy NW Apt 304
Boca Raton, FL 33487-3664
Phone (954) 612-7709

Other names 1

  • ZoomWellnessMD.com Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1750046579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 BROKEN SOUND PKWY NW APT 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873664",
            "telephone_number": "954-612-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 BROKEN SOUND PKWY NW APT 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873664",
            "telephone_number": "954-612-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOOM WELLNESS MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "VALENTINO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "954-612-7709",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZoomWellnessMD.com",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.