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NPI Code Detail

MEDICARE: PASTEUR & WELLMAX MEDICAL CENTERS LLC

MEDICARE: PASTEUR & WELLMAX MEDICAL CENTERS 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
1261Q00000XClinic/Center
2207RG0300XGeriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1093535288
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASTEUR & WELLMAX MEDICAL CENTERS LLC
Provider Business Mailing Address
First Line : 6355 NW 36TH EAST BUILDING
Second Line : SUITE 1100
City : VIRGINIA GARDENS
State : FL
Zip : 33166
Country : US
Telephone Number : 786-233-6981
Fax Number : 786-322-2317
Provider Business Practice Location Address
First Line : 1500 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3617
Country : US
Telephone Number : 954-438-4000
Fax Number : 954-438-6000
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : JORGE RAAD
Credential :
Telephone Number : 786-233-6981
Provider Enumeration Date : 10/14/2024
Last Update Date : 02/26/2025

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