SAN MIGUEL COMMUNITY WELLNESS CENTER
NPI 1073112603
Clinic/Center in Miami, FL
About San Miguel Community Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN MIGUEL COMMUNITY WELLNESS CENTER (NPI 1073112603), doing business as San Miguel Health Center, is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since October 2020. The organization lists Miguel Novoa, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Miguel Community Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to San Miguel Community Wellness Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Miguel Community Wellness Center's NPI number?
The NPI number for San Miguel Community Wellness Center is 1073112603. It was assigned to this organization in the NPPES registry on October 24, 2020. The provider is doing business as San Miguel Health Center.
Where is San Miguel Community Wellness Center located?
San Miguel Community Wellness Center is located at 12030 SW 129th Ct Ste 107, Miami, FL 33186. The listed phone number is (305) 432-4032.
What is San Miguel Community Wellness Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is San Miguel Community Wellness Center enrolled in Medicare?
Yes. San Miguel Community Wellness Center is registered in the Medicare PECOS enrollment system.
When is San Miguel Community Wellness Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through San Miguel Community Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to San Miguel Community Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3), Nurse Practitioner (3) and Occupational Therapist in Private Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does San Miguel Community Wellness Center accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list San Miguel Community Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for San Miguel Community Wellness Center was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# San Miguel Community Wellness Center · NPI 1073112603
Clinic/Center organization in Miami, Florida. Organization record, active in the CMS NPPES registry since October 24, 2020.
## Identity
- **NPI:** 1073112603 (Entity type: Organization)
- **Enumerated:** October 24, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** SAN MIGUEL HEALTH CENTER (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Miguel Novoa, PRESIDENT
## Practice location
- **Address:** 12030 SW 129TH CT STE 107, Miami, FL 33186-4584
- **Phone:** (305) 432-4032 · **Fax:** (855) 461-3440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (3), Nurse Practitioner (3), Occupational Therapist in Private Practice (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073112603) · Data from the CMS NPPES public registry.