Organization Active NPI

Elite Therapy Group, Inc

Doing business as Elite Medical Wellness, LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1942736400
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE THERAPY GROUP, INC
Doing business as
Elite Medical Wellness, LLC
Practice address
2550 NW 72ND Ave
Suite 208
Miami, FL 33122
Phone
(305) 381-5123
Fax
(305) 381-5476
NPI assigned
May 3, 2017
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Yarel M Toral Sanchez
Title
Owner
Phone
(305) 381-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2550 NW 72ND Ave
Suite 208
Miami, FL 33122

Mailing address

2550 NW 72ND Ave
Suite 208
Miami, FL 33122
Phone (305) 381-5123

Other names 1

  • Elite Medical Wellness, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Medical Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1942736400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NW 72ND AVE",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33122",
            "telephone_number": "305-381-5123",
            "fax_number": "305-381-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NW 72ND AVE",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33122",
            "telephone_number": "305-381-5123",
            "fax_number": "305-381-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-07-17",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "TORAL SANCHEZ",
        "authorized_official_first_name": "YAREL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-381-5123"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Medical Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.