# DWELLNESS LAB CORP

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

## Provider details

- **NPI number:** 1689559551
- **Authorized official:** RAUL RODRIGUEZ (CEO)
- **Authorized official phone:** (305) 877-2870

## Contact information

- **Practice address:** 4105 E 4TH AVE STE 2D, HIALEAH, FL 33013-2318
- **Practice address phone:** (305) 419-2679
- **Practice address fax:** (786) 931-2388
- **Mailing address:** 4105 E 4TH AVE STE 2D, HIALEAH, FL 33013-2318
- **Mailing address phone:** (305) 419-2679
- **Mailing address fax:** (786) 931-2388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/08/2025
- **Last updated:** 07/10/2026