NPIMap

Organization Active NPI

Galaxy Wellness & Ortho-Spine Center LLC

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1861957425
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
GALAXY WELLNESS & ORTHO-SPINE CENTER LLC
Practice address
9774 SW 24TH St
Miami, FL 33165-7574
Phone
(865) 362-3777
NPI assigned
Feb 7, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Jose Allende
Title
Manager
Phone
(786) 536-2377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

9774 SW 24TH St
Miami, FL 33165-7574

Mailing address

9774 SW 24TH St
Miami, FL 33165-7574
Phone (786) 536-2377

Other identifiers 1

IdentifierTypeStateIssuer
0270619900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jose@galaxyorthopedic.com Direct

National Provider Directory

National Provider Directory

Locations

9774 SW 24th St
Miami, FL 33165
Phone (305) 220-3600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1861957425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9774 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657574",
            "telephone_number": "786-536-2377",
            "fax_number": "888-862-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9774 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657574",
            "telephone_number": "865-362-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY WELLNESS & ORTHO-SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "ALLENDE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-536-2377"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270619900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose@galaxyorthopedic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email",
            "address_1": "9774 SW 24th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331657574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 2, 2019; 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.