Organization Active NPI

Palmetto Wellness Center Inc

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1881649218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMETTO WELLNESS CENTER INC
Practice address
2050 W 56TH St
Unit 15 - 16
Hialeah, FL 33016-2601
Phone
(305) 698-5850
NPI assigned
May 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Gomez Estevez
Title
President
Phone
(305) 698-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2050 W 56TH St
Unit 15 - 16
Hialeah, FL 33016-2601

Mailing address

2050 W 56TH St
Unit 15 - 16
Hialeah, FL 33016-2601
Phone (305) 698-5850

National Provider Directory

National Provider Directory

Locations

2050 W 56th St
Ste 15
Hialeah, FL 33016
Phone (305) 364-0315

2050 W 56th St
Unit 1516
Hialeah, FL 33016
Phone (305) 698-5850

Practitioners & affiliated clinicians

Practitioners 1

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881649218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W 56TH ST",
            "address_2": "UNIT 15 - 16",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162601",
            "telephone_number": "305-698-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W 56TH ST",
            "address_2": "UNIT 15 - 16",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162601",
            "telephone_number": "305-698-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ ESTEVEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-698-5850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.