Organization Active NPI

United Healthcare & Wellness Center

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1780615914
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME25136 Issued in FL
Legal business name
UNITED HEALTHCARE & WELLNESS CENTER
Practice address
7902 NW 36TH St
209
Doral, FL 33166-6637
Phone
(786) 331-9501
Fax
(786) 331-9502
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luis M Fernandez
Title
Vice President
Phone
(786) 487-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X ME25136 FL Primary

Addresses

Primary practice location

7902 NW 36TH St
209
Doral, FL 33166-6637

Mailing address

7902 NW 36TH St
209
Doral, FL 33166-6637
Phone (786) 331-9501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780615914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 NW 36TH ST",
            "address_2": "209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666637",
            "telephone_number": "786-331-9501",
            "fax_number": "786-331-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 NW 36TH ST",
            "address_2": "209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666637",
            "telephone_number": "786-331-9501",
            "fax_number": "786-331-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTHCARE & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-487-3002"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME25136",
            "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 Aug 22, 2020; 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.