Athena Medical LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ATHENA MEDICAL LLC

Practice address

45 W 17TH St
Riviera Beach, FL 33404-6121

Phone

(954) 314-8202

Fax

(954) 842-4347

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Bryan Alzate

Title

Ceo

Phone

(954) 314-8202

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1992313472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 460",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246402",
            "telephone_number": "954-314-8202",
            "fax_number": "954-842-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 17TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046121",
            "telephone_number": "954-314-8202",
            "fax_number": "954-842-4347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215638",
            "country_code": "US",
            "telephone_number": "954-314-8202",
            "fax_number": "954-842-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATHENA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "ALZATE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-314-8202"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donna@athenamedicalgrp.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2001 Hollywood Blvd Ste 207",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330204536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Maria Armenteros, PSYD
• Rabindranauth Armogan
• Kristi B Arnett, RD, LD/N
• Alysia Whitney Arrue, BSW
• Rim Assil
• Audrey Kay Atkinson, RD, LD/N
• Atta & Zaas. LLC
• Attach-N-Wrap
• Willa Alexis Atwell, RN
• Marie Bitha Augustin Herold, RN, MSN, PMHNP-BC

• Multi-Specialty Clinic/Center in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.