Organization
WELLNESS DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULEXIS RODRIGUEZ PORTAL (OWNER)
(305) 456-6055
Entity
Organization
Contact information
Practice address
7175 SW 8TH ST STE 214, MIAMI, FL 33144-4674
(305) 456-6055
(786) 431-3126
Mailing address
7175 SW 8TH ST, SUITE 212, MIAMI, FL 33144-4676
(305) 456-6055
(786) 360-6232
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
ME86719
FL
2471S1302X
Sonography Radiologic Technologist
ARDMS142041
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
06/18/2024
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