Wellcare Therapeutic Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MM25377 Issued in FL

Legal business name

WELLCARE THERAPEUTIC INC

Practice address

3750 W 16TH Ave Ste 238U
Hialeah, FL 33012-4665

Phone

(305) 822-7002

Fax

(305) 822-7009

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Anier Arce, MA

Title

Massage Therapist

Phone

(305) 822-7002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1891000121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 238U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124665",
            "telephone_number": "305-822-7002",
            "fax_number": "305-822-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 238U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124665",
            "telephone_number": "305-822-7002",
            "fax_number": "305-822-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE THERAPEUTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "ARCE",
        "authorized_official_first_name": "ANIER",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "305-822-7002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM25377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.