San Miguel Community Wellness Center LLC
Community/Behavioral Health

Address: 12030 Sw 129th Ct Ste 206, Miami, FL 33186-4584
Phone: 7863348099

San Miguel Community Wellness Center LLC (NPI# 1073112603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1073112603
Entity Type Organization
Organization Name SAN MIGUEL COMMUNITY WELLNESS CENTER LLC
Practice Address 12030 Sw 129th Ct Ste 206
Miami
FL 33186-4584
Practice Telephone 7863348099
Mailing Address 12030 Sw 129th Ct Ste 206
Miami
FL 33186-4584
Mailing Telephone 7863348099
Authorized Official Name Miguel Novoa (PRESIDENT)
Authorized Official Telephone 7863348099
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-24
Last Update Date 2020-10-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 251S00000X Community/Behavioral Health Agencies

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Office Location

Street Address 12030 SW 129TH CT STE 206
City MIAMI
State FL
Zip Code 33186-4584

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962010934 West Kendall Medical LLC Durable Medical Equipment & Medical Supplies 13805 Sw 128th St Ste 201b, Miami, FL 33186 2020-07-16
1902446040 Claudia Alfonso Behavior Technician 13838 Sw 139 Ct, Miami, FL 33186 2020-01-07
1740825256 West Kendall Baptist Hospital Inc Non-Pharmacy Dispensing Site 14150 Sw 136 Street, Miami, FL 33186 2019-11-08
1114561768 Jami Ferrare Nurse Practitioner 9862 Sw 118th Ave, Miami, FL 33186 2019-11-06
1659913473 Lissette Blanco Behavior Technician 9120 Sw 143 Ave, Miami, FL 33186 2019-10-14
1548819949 Crystal Domenech Clinic/Center Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 2019-09-09
1780243931 Amore Mental Health Corp. Case Management 14221 Sw 120 Street, Suite 109, Miami, FL 33186 2019-06-11
1639631047 Dynasty Mental Health, Inc Clinic/Center 13590 Sw 134th Ave Ste 203, Miami, FL 33186 2019-04-03
1922575133 University Health Care West Kendall, Inc. Clinic/Center 13611 Sw 131 Street, Miami, FL 33186 2018-10-25
1245705904 Lamberto Hernandez Registered Nurse 12604 Sw 119th Path, Miami, FL 33186 2018-10-09
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Competitor

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City MIAMI
Zip Code 33186

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Dataset Information

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.