Sagittarius Edcare, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SAGITTARIUS EDCARE, INC

Doing business as

FORTRESS Wellness Center

Practice address

2601 SW 37TH Ave Ste 505
Miami, FL 33133-2750

Phone

(305) 514-0861

Fax

(305) 521-8336

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Joel Hernandez, MDNPI 1902866494

Title

Owner

Phone

(305) 491-2234

Specialties & licenses 1

Addresses

Other names 1

• FORTRESS Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Hernandez, MD

  • Emergency Medicine Physician
  • Sunrise, FL
  • NPI 1902866494
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1871286716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ISLAND AVE APT 810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391323",
            "telephone_number": "305-491-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "305-514-0861",
            "fax_number": "305-521-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGITTARIUS EDCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-491-2234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORTRESS Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Pilar Sagastume
• Sage Dental of Kendall South, PLLC
• Sage Dental of Miami at Airpark Plaza, PLLC
• Sage Dental of West Kendall PLLC
• Sage Dental of West Miami PLLC
• Sagrado Corazon Alf Corp.
• Sagrado Corazon de Jesus Home Care Inc
• Buenalynn Parrel Sagrado, PMHNP-BC
• Stephanie Sofia Saguer
• Natividad Sagues, RBT

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.