Organization Active NPI

Seneca Healthcare & Wellness Center LLC

  • Internal Medicine Physician
  • Lauderhill, FL
National Provider Identifier
1902307846
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SENECA HEALTHCARE & WELLNESS CENTER LLC
Practice address
4603 N University Dr
Lauderhill, FL 33351-5741
Phone
(954) 368-6604
Fax
(954) 368-6454
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Mrs. Maria Cristina Suarez
Title
Manager
Phone
(954) 368-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4603 N University Dr
Lauderhill, FL 33351-5741

Mailing address

4603 N University Dr
Lauderhill, FL 33351-5741
Phone (954) 368-6604

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190716001638 FL Part B Supplier - Clinic/Group Practice 8921333774 Receives reassigned benefits from 3 practitioners
Practice locations: Lauderhill, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2155778Seneca Healthcare & Wellness Center4603 N University Dr, Lauderhill, FL 33351Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

4603 N University Dr
Lauderhill, FL 33351
Phone (954) 368-6604

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1902307846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515741",
            "telephone_number": "954-368-6604",
            "fax_number": "954-368-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515741",
            "telephone_number": "954-368-6604",
            "fax_number": "954-368-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA HEALTHCARE & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-368-6604",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.