Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dwellness Lab Corp

Organization Family Medicine Physician · NPI 1689559551

Dwellness Lab Corp is a Family Medicine Physician in Hialeah, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4105 E 4th Ave Ste 2D
Hialeah, FL 33013-2318
Phone: (305) 419-2679
Fax: (786) 931-2388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1689559551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raul Rodriguez — Ceo · (305) 877-2870
NPI enumeratedAugust 8, 2025
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address4105 E 4th Ave Ste 2d, Hialeah, FL 33013-2318

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