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CORINTHIANS PRIMARY CARE AND WELLNESS LLC
NPI 1104774264
Nurse Practitioner - Primary Care in Pembroke Pines, FL

Active since March 16, 2026CLIA 10D2344872 · Waiver
2221 N UNIVERSITY DR STE B, PEMBROKE PINES, FL 33024(728) 205-1544(728) 666-0737 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Corinthians Primary Care And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORINTHIANS PRIMARY CARE AND WELLNESS LLC (NPI 1104774264) is a healthcare organization registered as a primary care in Pembroke Pines, Florida and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Madelyn Roque Garcia, Owner, as its authorized official.

NPPES Registry Identity

NPI1104774264
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCORINTHIANS PRIMARY CARE AND WELLNESS LLC
Location Address2221 N UNIVERSITY DR STE BPembroke Pines, FL 33024-3603
Mailing Address2221 N University Dr Ste BPembroke Pines, FL 33024-3603 · (728) 205-1544 · Fax (728) 666-0737
Phone(728) 205-1544
Fax(728) 666-0737
Organization SubpartNo
Authorized OfficialMadelyn Roque GarciaOwner · (728) 205-1544
Enumeration DateMarch 16, 2026
Last NPPES UpdateApril 19, 20262 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
✔ NPI 1104774264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2221 N UNIVERSITY DR STE B, Pembroke Pines, FL 33024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2344872

Corinthians Primary Care And Wellness LLC · Pembroke Pines, FL
Active · expires May 31, 2028
CLIA Number10D2344872
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorMadelyn Roque Garcia
Laboratory Phone(728) 205-1544
Laboratory LocationCorinthians Primary Care And Wellness LLC2221 N University Drive Unit B, Pembroke Pines, FL 33024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Corinthians Primary Care And Wellness LLC's NPI number?

The NPI number for Corinthians Primary Care And Wellness LLC is 1104774264. It was assigned to this organization in the NPPES registry on March 16, 2026.

Where is Corinthians Primary Care And Wellness LLC located?

Corinthians Primary Care And Wellness LLC is located at 2221 N University Dr Ste B, Pembroke Pines, FL 33024. The listed phone number is (728) 205-1544.

What is Corinthians Primary Care And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Corinthians Primary Care And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2344872) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Corinthians Primary Care And Wellness LLC was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.