# WAVE MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134855976
- **Authorized official:** DIANELYS MOURELLES CABRERA (PRESIDENT)
- **Authorized official phone:** (786) 300-2323

## Contact information

- **Practice address:** 8260 W FLAGLER ST STE 26, MIAMI, FL 33144-2069
- **Practice address phone:** (786) 300-2323
- **Practice address fax:** (305) 221-5665
- **Mailing address:** 8260 W FLAGLER ST STE 26, MIAMI, FL 33144-2069
- **Mailing address phone:** (786) 783-3434
- **Mailing address fax:** (305) 221-5665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 07/25/2022
- **Last updated:** 03/01/2024