MEDICARE: WELLNESS AND CARE RN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1316870256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS AND CARE RN LLC

Provider Business Mailing Address
First Line	:	435 LAKEVIEW DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-2447
Country	:	US
Telephone Number	:	786-616-2076
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 LAKEVIEW DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-2447
Country	:	US
Telephone Number	:	786-616-2076
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	RUBIELA MARIN
Credential	:	REGISTERED NURSE
Telephone Number	:	786-616-2076

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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