NPIMap

Organization Active NPI

Hathor Wellcare Center Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1952071821
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HATHOR WELLCARE CENTER INC
Practice address
13335 SW 124TH St Ste 206
Miami, FL 33186-7515
Phone
(786) 429-1495
Fax
(786) 227-6780
NPI assigned
Sep 14, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Pedro Rafael Fajardo Pompa
Title
Owner
Phone
(786) 429-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

13335 SW 124TH St Ste 206
Miami, FL 33186-7515

Mailing address

13335 SW 124TH St Ste 206
Miami, FL 33186-7515
Phone (786) 429-1495

National Provider Directory

National Provider Directory

Locations

13335 SW 124th St
Ste 206
Miami, FL 33186
Phone (786) 429-1495

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1952071821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "786-429-1495",
            "fax_number": "786-227-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "786-429-1495",
            "fax_number": "786-227-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHOR WELLCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "FAJARDO POMPA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-429-1495"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 14, 2021; 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.