Wind River Medical Group Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WIND RIVER MEDICAL GROUP INC.

Practice address

900 W 49TH St Ste 300
Hialeah, FL 33012-3407

Phone

(305) 726-8997

NPI assigned

Aug 1, 2018

Last updated

Jun 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yoel Naveira

Title

President

Phone

(305) 726-8997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1861970865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123407",
            "telephone_number": "305-726-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123407",
            "telephone_number": "305-726-8997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 NW North River Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331252601",
            "country_code": "US",
            "telephone_number": "786-556-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIND RIVER MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "NAVEIRA",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-726-8997"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.