MEDICARE: THE WELLNESS INSTITUTE OF THE AMERICAS, 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	208D00000X	General Practice Physician	ME52943	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10766	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1124576830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WELLNESS INSTITUTE OF THE AMERICAS, LLC

Provider Business Mailing Address
First Line	:	888 BRICKELL AVE
Second Line	:	SUITE 600
City	:	MIAMI
State	:	FL
Zip	:	33131-2913
Country	:	US
Telephone Number	:	305-371-7172
Fax Number	:	786-221-4435

Provider Business Practice Location Address
First Line	:	888 BRICKELL AVE
Second Line	:	SUITE 600
City	:	MIAMI
State	:	FL
Zip	:	33131-2913
Country	:	US
Telephone Number	:	305-371-7172
Fax Number	:	786-221-4435

Authorized Official
Title or Position	:	MD/OWNER
Name	:	DR. JUAN J REMOS
Credential	:	MD
Telephone Number	:	305-371-7172

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	09/12/2016

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Directions to “THE WELLNESS INSTITUTE OF THE AMERICAS, LLC ” Practice Location

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