Organization
HEALTH & WELLNESS EVOLUTION CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL RIOS (PRESIDENT)
(786) 717-7656
Entity
Organization
Contact information
Practice address
6905 NW 77TH AVE, MIAMI, FL 33166-2835
(786) 717-7656
(786) 254-7439
Mailing address
6905 NW 77TH AVE, MIAMI, FL 33166-2835
(786) 717-7656
(786) 254-7439
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
HCC10565
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
04/08/2021
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