OrganizationActive
Jacobs Well
NPI 1699136192 · Substance Use Disorder Rehabilitation Clinic/Center · Miami, FL
Provider details
- NPI number
- 1699136192
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Isidora, Ceo(305) 517-3142
- License
- SW6661 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9990 Sw 77th Ave Ste 204
Miami, FL 33156-2660
Phone: (305) 517-3142
Street-level locationGet directions
Mailing address
9990 Sw 77th Ave Ste 204
Miami, FL 33156-2660
Registry dates
- Enumerated
- 2016-03-10
- Last updated
- 2016-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.