Organization Active NPI

Biowik LLC

  • Addiction (Substance Use Disorder) Counselor
  • Coral Gables, FL
National Provider Identifier
1841039294
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BIOWIK LLC
Practice address
4649 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33146
Phone
(786) 371-8337
NPI assigned
May 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Miss Cornelia Paulina Detesan
Title
Ceo
Phone
(786) 371-8337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

4649 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33146

Mailing address

4649 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33146
Phone (786) 371-8337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1841039294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 PONCE DE LEON BLVD",
            "address_2": "SUITE 302",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "786-371-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 PONCE DE LEON BLVD",
            "address_2": "SUITE 302",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "786-371-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOWIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "DETESAN",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_middle_name": "PAULINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-371-8337",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.