Back To Basic Wellness Services LLC
Back To Basic Wellness Services LLC is a healthcare organization registered as Primary Care Clinic/Center in Pembroke Pines, FL, holding Type 2 (organization) NPI 1861733628 since 2013. The authorized official on file is Sharon Velez-Maymi, President/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861733628 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Back To Basic Wellness Services LLC |
| Practice address | 15757 PINES BLVD, SUITE 295, Pembroke Pines, FL, 33027 |
| Phone | 3057614388 |
| Enumeration date | 2013-03-04 |
| Last updated in NPPES | 2013-04-10 |
Authorized official
| Name | Sharon Velez-Maymi |
|---|---|
| Title | President/Owner |
| Phone | 3057614388 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Back To Basic Wellness Services LLC NPI: 1861733628 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 15757 PINES BLVD, SUITE 295, Pembroke Pines, FL, 33027
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437130002 | Gonzalo Iravedra | Individual | Internal Medicine Physician | Pembroke Pines, FL |
| 1013260082 | Ilyssa Hershey Psyd LLC | Organization | Clinical Psychologist | Pembroke Pines, FL |
| 1992134506 | Mercedes Gonzalez | Individual | Developmental Therapist | Pembroke Pines, FL |
Verify this record
Cross-check NPI 1861733628 against the authoritative CMS record: view Back To Basic Wellness Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Back To Basic Wellness Services LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-04-10.