LIVING WELL MEDICAL GROUP NPI 1477021574

NPI Information

  • NPI: 1477021574
  • Provider Name: LIVING WELL MEDICAL GROUP
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 344 W 65TH ST STE 201
    HIALEAH, FL
    ZIP 33012
  • Phone: (786) 216-5570

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NPI Details

LIVING WELL MEDICAL GROUP is a mental health (including community mental health center) clinic center in Hialeah, FL. LIVING WELL MEDICAL GROUP NPI is 1477021574. The provider is registered as an organization entity type.

The provider's business location address is:

344 W 65TH ST STE 201
HIALEAH, FL
ZIP 33012-719
Phone: (786) 216-5570

The provider's authorized official is Mairim Gonzalez .
The authorized official title is President and has the following contact phone number (786) 216-5570.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 6/6/2022.

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
1261QH0100XClinic/CenterHealth ServiceNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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