LIVING WELL MEDICAL GROUP, INC (NPI# 1477021574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477021574 |
| Entity Type | Organization |
| Organization Name | LIVING WELL MEDICAL GROUP, INC |
| Practice Address |
344 W 65th St Ste 201 Hialeah FL 33012-6719 |
| Practice Telephone | 7862165570 |
| Mailing Telephone | 7862165570 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | MAIRIM GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 7862165570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
344 W 65TH ST STE 201 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-6719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1437758364 | Community Choice Health Network Corp | Clinic/Center | 5985 W 25th Ct Ste A108, Hialeah, FL 33016-4462 | 2020-10-21 |
| 1164035416 | D&e Clarity Mental Health LLC | Clinic/Center | 7600 W 20th Ave Ste 101, Hialeah, FL 33016-1895 | 2020-08-26 |
| 1972113470 | Bravo S Mental Health Care Corp | Clinic/Center | 2100 W 76th St Ste 209, Hialeah, FL 33016-5503 | 2020-08-09 |
| 1407356751 | Victory Cmh Corp | Clinic/Center | 2099 W 76th St Unit 13, Hialeah, FL 33016-1834 | 2018-02-13 |
| 1255875324 | Tropical Care Medical Center, Corp | Clinic/Center | 1651 W 37th St, Hialeah, FL 33012-4691 | 2016-12-08 |
| 1740638162 | Andres Bello | Clinic/Center | 730 E 14th Pl, Hialeah, FL 33010-3226 | 2016-05-26 |
| 1124418264 | Targeted Cm | Clinic/Center | 2300 W 84th St, Suite 204, Hialeah, FL 33016-5770 | 2015-01-28 |
| 1003004029 | Medical Consulting Center Inc | Clinic/Center | 1671 W 37th St Ste 3, Hialeah, FL 33012-4639 | 2007-10-04 |
| Find all providers in HIALEAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.