NPIMap

Organization Active NPI

Wellness Medical Group LLC

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1912615527
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WELLNESS MEDICAL GROUP LLC
Practice address
2500 NW 79TH Ave Ste 233
Doral, FL 33122-1086
Phone
(786) 209-0022
NPI assigned
Nov 11, 2022
Organization subpart
Yes
Parent organization
WELLNESS MEDICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Anabel Diaz
Title
Owner
Phone
(305) 746-5424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2500 NW 79TH Ave Ste 233
Doral, FL 33122-1086

Mailing address

2500 NW 79TH Ave Ste 233
Doral, FL 33122-1086
Phone (786) 209-0022

National Provider Directory

National Provider Directory
Tax ID family
Wellness Medical Group LLC3 organizations share this tax ID, including this one
Part of
Wellness Medical Group LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2500 NW 79th Ave
Ste 233
Miami, FL 33122
Phone (407) 785-8621

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1912615527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 233",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221086",
            "telephone_number": "786-209-0022",
            "fax_number": "305-402-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 233",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221086",
            "telephone_number": "786-209-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS MEDICAL GROUP LLC",
        "enumeration_date": "2022-11-11",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-746-5424"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.