Carewell Clinic Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CAREWELL CLINIC CORP

Practice address

14901 NW 79TH CT
Miami Lakes, FL 33016-5856

Phone

(786) 936-8432

Fax

(786) 936-8433

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Sandy Lopez

Title

Ceo

Phone

(786) 499-3499

Specialties & licenses 1

Addresses

Other names 1

• VIDA MEDICAL CENTERS OF MIAMI LAKES Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jorge Serret, ARNP

  • Adult Health Nurse Practitioner
  • Hialeah, FL
  • NPI 1104330760

  Single Specialty

  Medicare reassignment NPD
• Ainadi Valdes Enamorado, ARNP

  • Family Nurse Practitioner
  • Miami Lake, FL
  • NPI 1295221570
  Medicare reassignment NPD
• Juan Marcos Velazquez, MD

  • Internal Medicine Physician
  • Cutler Bay, FL
  • NPI 1447522438
  Medicare reassignment NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1912734047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 NW 79TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165856",
            "telephone_number": "786-936-8432",
            "fax_number": "786-936-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 NW 79TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165856",
            "telephone_number": "786-936-8432",
            "fax_number": "786-936-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-499-3499"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDA MEDICAL CENTERS OF MIAMI LAKES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Care Behavior Services LLC
• Care Expansion Inc
• Care Force, Inc
• Care Solutions Medical Group LLC
• Carelink LLC
• Caribe Catering LLC
• Caring Hands Miami LLC
• Caring People Inc
• Carla'S Family Chiropractic Center
• Carlos F Vallejo MD PA

• Primary Care Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.