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HATHOR WELLCARE CENTER INC NPI 1093254716


NPI Information

NPI: 1093254716
Provider Name: HATHOR WELLCARE CENTER INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2243051

Address:
13335 SW 124TH ST STE 206
MIAMI, FL
ZIP 33186
Phone: (786) 429-1495
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HATHOR WELLCARE CENTER INC is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HATHOR WELLCARE CENTER INC NPI is 1093254716. The provider is registered as an organization entity type.

The provider's business location address is:

13335 SW 124TH ST STE 206
MIAMI, FL
ZIP 33186-515
Phone: (786) 429-1495
Fax: (786) 227-6780

The provider's authorized official is Pedro Rafael Fajardo Pompa .
The authorized official title is Owner/president and has the following contact phone number (786) 452-1751.

The CLIA number assigned to this NPI record is 10D2243051 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 1/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.