Life Wellness Center Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

PY5490 Issued in FL

Legal business name

LIFE WELLNESS CENTER INC

Practice address

3119 Coral Way
Suite 200
Coral Gables, FL 33145-3209

Phone

(305) 525-3629

Fax

(305) 969-1521

NPI assigned

Apr 11, 2008

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerardo Francisco Rodriguez-Menendez, PH.D.NPI 1598941999

Title

President

Phone

(305) 525-3629

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Gerardo Francisco Rodriguez-Menendez, PH.D.

  • Clinical Neuropsychologist
  • Coral Gables, FL
  • NPI 1598941999
  Authorized official Same address or phone
• Teresa Albizu-Rodriguez, M.S.

  • Marriage & Family Therapist
  • Miami, FL
  • NPI 1770769168
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1962675702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 CORAL WAY",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453209",
            "telephone_number": "305-525-3629",
            "fax_number": "305-969-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 CORAL WAY",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453209",
            "telephone_number": "305-525-3629",
            "fax_number": "305-969-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-MENENDEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-525-3629",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "PY5490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Didier Andre Libessart
• Caitlin Lichtner
• Lidi Medical Supply Inc
• Life in Balance Acupuncture & Wellness
• Life Is Now Counseling, LLC.
• Lifeclinic Physical Therapy & Chiropractic LLC
• Lileni Medical Center Corp
• Liliana Wolf PHD PA
• Barbara Mercedes Lima
• Juan Lima, M.D.

• Exclusive Provider Organization in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.