WELLCARE CLINIC INC (NPI# 1528365145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528365145 |
| Entity Type | Organization |
| Organization Name | WELLCARE CLINIC INC |
| Practice Address |
11865 Sw 26th St B-14 Miami FL 33175-2400 |
| Practice Telephone | 3053006925 |
| Practice Fax Number | 3056752668 |
| Mailing Telephone | 3053006925 |
| Mailing Fax Number | 3056752668 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | KEYTTIA SARDINAS (PRESIDENT) |
| Authorized Official Telephone | 3053006925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
HCC8906 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AHCA EXEMPT HCC UNIT | FILE 9187 | 01 |
| Street Address |
11865 SW 26TH ST B-14 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906355 | Humberto Sergio Martinez | Pharmacist | 11865 Sw 26th St, Miami, FL 33175-2400 | 2005-07-19 |
| 1194150847 | Aod Dental Clinic Inc | Clinic/Center | 11865 Sw 26th St, Unit G10, Miami, FL 33175-2400 | 2013-09-12 |
| 1740465020 | Lilian De La C Cruz | Technician/Technologist | 11865 Sw 26th St, Miami, FL 33175-2400 | 2008-01-04 |
| 1780876755 | Adina Setren O.d., P.a. | Optometrist | 11865 Sw 26th St, Miami, FL 33175-2400 | 2007-08-14 |
| 1538368329 | Optical One Corp | Eyewear Supplier (Equipment, not the service) | 11865 Sw 26th St, C-27, Miami, FL 33175-2400 | 2007-07-12 |
| 1558583997 | George J. Michel | Internal Medicine | 11865 Sw 26th St, Suite G-10, Miami, FL 33175-2400 | 2007-05-03 |
| 1336263581 | Monteverde Adult Activity Center, Corp. | Custodial Care Facility | 11865 Sw 26th St, G-5, Miami, FL 33175-2400 | 2007-03-16 |
| 1710011713 | Jeannette Mierisch Sr. | Pharmacist | 11865 Sw 26th St, Suite A, Miami, FL 33175-2400 | 2007-03-14 |
| 1801932678 | Saul Eduardo Quintero | Emergency Medicine | 11865 Sw 26th St, Unit G 10, Miami, FL 33175-2400 | 2007-01-29 |
| 1407905193 | Mireya Llense | General Practice | 11865 Sw 26th St, Suite G10, Miami, FL 33175-2400 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1568005411 | Depena Health Group LLC | Clinic/Center | 7171 Sw 24th St Ste 316, Miami, FL 33155-1692 | 2019-10-23 |
| 1356990444 | Rehab Center Ag Inc | Clinic/Center | 1250 Sw 27th Ave Ste 506, Miami, FL 33135-4751 | 2019-09-10 |
| 1881240935 | Contender Recovery | Clinic/Center | 6821 Sw 44th St Apt 304, Miami, FL 33155-4758 | 2019-08-14 |
| 1891293668 | Petersen Medical Corp. | Clinic/Center | 7235 Coral Way Ste 213, Miami, FL 33155-1452 | 2018-01-26 |
| 1437661683 | Cora Health Services Inc | Clinic/Center | 6790 Coral Way, Miami, FL 33155-1702 | 2017-10-27 |
| 1548772049 | Cora Health Services Inc | Clinic/Center | 15449 Sw 137th Ave, Miami, FL 33177-1279 | 2017-10-25 |
| 1598276784 | Premier Pain Medical Center, Inc. | Clinic/Center | 3399 Nw 72nd Ave Ste 101, Miami, FL 33122-1355 | 2017-10-16 |
| 1386154029 | Pro Medical Institute Inc | Clinic/Center | 330 Sw 27th Ave Ste 604, Miami, FL 33135-2968 | 2017-10-09 |
| 1477078947 | Motion Recovery Corp | Clinic/Center | 12595 Sw 137th Ave Ste 104, Miami, FL 33186-4218 | 2017-08-07 |
| Find all providers in MIAMI | ||||
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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.