Medical Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MEDICAL WELLNESS CENTER LLC

Practice address

10031 SW 40TH St
Miami, FL 33165-3945

Phone

(786) 422-9628

NPI assigned

Jul 23, 2020

Last updated

Oct 24, 2022By 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

Alfredo Alvarez

Title

MBR/Ceo

Phone

(786) 422-9628

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Medical Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cutler Bay, FL
  • NPI 1326765009
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

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.

• Nancy M Acuna Diaz, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1215518154
  Medicare reassignment NPD
• Oscar Antonio Dobano Amador, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Gables, FL
  • NPI 1962034892
  Medicare reassignment NPD
• Jose Armando Guerra-Valencia, MD

  • Psychiatry Physician
  • South Miami, FL
  • NPI 1154673770
  Medicare reassignment NPD
• Anely Rodriguez, LCSW

  • Clinical Social Worker
  • Miami, FL
  • NPI 1114626900
  Medicare reassignment NPD
• Ariamna Ramirez Cueto, LMHC

  • Behavior Analyst
  • Cutler Bay, FL
  • NPI 1982563128
  Medicare reassignment

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1871102160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653945",
            "telephone_number": "786-422-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653945",
            "telephone_number": "786-422-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "MBR/CEO",
        "authorized_official_telephone_number": "786-422-9628"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.