Fajardo Wellness Center LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FAJARDO WELLNESS CENTER LLC

Doing business as

Easter Healthcare

Practice address

7235 Coral Way Ste 202
Miami, FL 33155-1451

Phone

(786) 432-9108

Fax

(786) 432-9109

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Susana Llanes Porto, MT

Title

Owner

Phone

(786) 970-9177

Specialties & licenses 1

Addresses

Other names 1

• Easter Healthcare Doing business as

Locations

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1922725332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 CORAL WAY STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551451",
            "telephone_number": "786-432-9108",
            "fax_number": "786-432-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 CORAL WAY STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551451",
            "telephone_number": "786-432-9108",
            "fax_number": "786-432-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAJARDO WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "LLANES PORTO",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-970-9177",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alejandro Fajardo Maceo
• Patricia Fajardo Miranda
• Grethel Fajardo Perez, BC BA
• Daniel Fajardo Puerto
• Nara Fajardo Salazar
• Adriana L Fajardo, RN BSN
• Anabel Fajardo
• Carmen G Fajardo, BS
• Diana M Fajardo
• Edgar Fajardo, LMT

• Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.