NPIMap

Organization Active NPI

Wellness Clinical Center, Inc

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1821423138
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WELLNESS CLINICAL CENTER, INC
Practice address
11285 SW 211TH St
Suite 205
Miami, FL 33189-2211
Phone
(786) 227-5000
Fax
(305) 378-9968
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Ms. Lismelys Trujillo Gama, LMT
Title
President
Phone
(786) 227-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

11285 SW 211TH St
Suite 205
Miami, FL 33189-2211

Mailing address

11285 SW 211TH St
Suite 205
Miami, FL 33189-2211
Phone (786) 227-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1821423138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "786-227-5000",
            "fax_number": "305-378-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "786-227-5000",
            "fax_number": "305-378-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CLINICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO GAMA",
        "authorized_official_first_name": "LISMELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-227-5000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.