Provider Demographics
NPI:1124576830
Name:THE WELLNESS INSTITUTE OF THE AMERICAS, LLC
Entity type:Organization
Organization Name:THE WELLNESS INSTITUTE OF THE AMERICAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:REMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-371-7172
Mailing Address - Street 1:888 BRICKELL AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2913
Mailing Address - Country:US
Mailing Address - Phone:305-371-7172
Mailing Address - Fax:786-221-4435
Practice Address - Street 1:888 BRICKELL AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2913
Practice Address - Country:US
Practice Address - Phone:305-371-7172
Practice Address - Fax:786-221-4435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME52943208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10766OtherBCBS