Organization Active NPI

Wellness Associates of Florida LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Atlantis, FL
National Provider Identifier
1831287192
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC4322 Issued in FL
Legal business name
WELLNESS ASSOCIATES OF FLORIDA LLC
Practice address
5917 S Congress Ave
Atlantis, FL 33462-1303
Phone
(561) 966-3393
Fax
(561) 966-9793
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Amado Esteban Lopez
Title
President
Phone
(561) 966-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC4322 FL Primary

Addresses

Primary practice location

5917 S Congress Ave
Atlantis, FL 33462-1303

Mailing address

5917 S Congress Ave
Atlantis, FL 33462-1303
Phone (561) 966-3393

Other identifiers 5

IdentifierTypeStateIssuer
FL 165OtherFLMEDSOLUTIOND
V2247OtherFLBCBS
2548771OtherFLAETNA - HMO
5843OtherFLAVMED
HCC4322OtherFLFL STATE LICENSE

Other names 1

  • WELLNESS ASSOCIATES OF FLORIDA INC Former legal business name

National Provider Directory

National Provider Directory

Locations

5917 S Congress Ave
Lantana, FL 33462
Phone (561) 432-0001

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1831287192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621303",
            "telephone_number": "561-966-3393",
            "fax_number": "561-966-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621303",
            "telephone_number": "561-966-3393",
            "fax_number": "561-966-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ASSOCIATES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "AMADO",
        "authorized_official_middle_name": "ESTEBAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-966-3393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC4322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDSOLUTIOND",
            "identifier": "FL 165",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V2247",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "2548771",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "5843",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "HCC4322",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS ASSOCIATES OF FLORIDA INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.