MEDICARE: ALPHA WELLNESS & CARE 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	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1104767821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA WELLNESS & CARE LLC

Provider Business Mailing Address
First Line	:	3930 NW 7TH ST APT 518
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-5564
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3930 NW 7TH ST APT 518
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-5564
Country	:	US
Telephone Number	:	786-367-1570
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YOLANDA VARELA
Credential	:
Telephone Number	:	786-367-1570

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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