Mediline Wellness Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

D2823 Issued in TX

Legal business name

MEDILINE WELLNESS CENTER

Practice address

6550 Mapleridge St Ste 214
Houston, TX 77081-4647

Phone

(713) 432-9400

Fax

(713) 432-9401

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Gerald Ratinov, MD

Title

Medical Director

Phone

(713) 432-9400

Specialties & licenses 1

Addresses

Tax ID family

Houston Advance Mediline Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Houston Advance Mediline Clinic

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1508009309
  NPD tax ID
• Houston Advanced Mediline Clinic

  • Mental Health Counselor
  • Houston, TX
  • NPI 1073756417
  NPD tax ID

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1811229503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814647",
            "telephone_number": "713-432-9400",
            "fax_number": "713-432-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814647",
            "telephone_number": "713-432-9400",
            "fax_number": "713-432-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDILINE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "RATINOV",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-432-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D2823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mediguard Medical Supplies LLC
• Medihealth, Inc.
• Medihope Services LLC
• Medikal PLLC
• Mediline Wellness and Diagnastic
• Medimed Pharmacy Inc
• Dorca Medina Boney, RN
• Dolores Cristina Medina de Zapien, M.D
• Nadya Medina Parrilla, M.D.
• Maricruz Medina-Marquis, M.D.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.