Organization Active NPI

Med-Well Healthcare Specialists Inc

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1881421824
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MED-WELL HEALTHCARE SPECIALISTS INC
Practice address
2450 SW 137TH Ave Ste 206
Miami, FL 33175-6312
Phone
(305) 381-5420
Fax
(305) 381-5335
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Israel Libera
Title
Cfo
Phone
(786) 606-9181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2450 SW 137TH Ave Ste 206
Miami, FL 33175-6312

Mailing address

2450 SW 137TH Ave Ste 206
Miami, FL 33175-6312
Phone (305) 381-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241218003939 FL Part B Supplier - Clinic/Group Practice 4284161951 Receives reassigned benefits from 9 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

2450 SW 137th Ave
Ste 234
Miami, FL 33175
Phone (305) 228-4020

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1881421824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756312",
            "telephone_number": "305-381-5420",
            "fax_number": "305-381-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756312",
            "telephone_number": "305-381-5420",
            "fax_number": "305-381-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-WELL HEALTHCARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "LIBERA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "786-606-9181"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 6, 2026; 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.