GENESIS WOUND CARE CENTER LLC
NPI 1306516919
Clinic/Center in Miami, FL

Active since September 15, 2021CLIA 10D2244541 · Microscopy
4995 NW 72ND AVE STE 406, MIAMI, FL 33166(305) 603-8410(786) 431-5976 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Wound Care Center Llc NPPES

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

GENESIS WOUND CARE CENTER LLC (NPI 1306516919) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Microscopy certificate valid through December 1, 2027 and lists Mayelin Alonso, Owner, as its authorized official.

NPPES Registry Identity

NPI1306516919
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENESIS WOUND CARE CENTER LLC
Location Address4995 NW 72ND AVE STE 406Miami, FL 33166-5643
Mailing Address4995 Nw 72nd Ave Ste 406Miami, FL 33166-5643 · (305) 603-8410 · Fax (786) 431-5976
Fax(786) 431-5976
Organization SubpartNo
Authorized OfficialMayelin AlonsoOwner · (305) 603-8410
Enumeration DateSeptember 15, 2021
Last NPPES UpdateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
NPI 1306516919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4995 NW 72ND AVE STE 406, Miami, FL 33166

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 for Provider-Performed Microscopy Procedures (PPMP) 10D2244541

Genesis Wound Care Center, LLC · Miami, FL
Active · expires Dec 1, 2027
CLIA Number10D2244541
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorMayelin Alonso
Laboratory Phone(305) 603-8410
Laboratory LocationGenesis Wound Care Center, LLC4995 NW 72 Ave Suite 406, Miami, FL 33166
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
4995 NW 72ND AVE STE 406
MIAMI, FL 33166

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 Genesis Wound Care Center LLC's NPI number?

The NPI number for Genesis Wound Care Center LLC is 1306516919. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is Genesis Wound Care Center LLC located?

Genesis Wound Care Center LLC is located at 4995 NW 72nd Ave Ste 406, Miami, FL 33166. The listed phone number is (305) 603-8410.

What is Genesis Wound Care Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Genesis Wound Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2244541) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Wound Care Center LLC was last updated on September 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.