EXCELLENCE CARE FLORIDA LLC
NPI 1013684992
Clinic/Center - Community Health in Doral, FL

NPI Status: Active since August 27, 2021

Contact Information

4005 NW 114TH AVE UNIT 22
DORAL, FL
ZIP 33178
Phone: (786) 366-2050

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 10D2314125
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 11-13-2026

About EXCELLENCE CARE FLORIDA LLC

This page provides the complete NPI Profile along with additional information for Excellence Care Florida Llc, a primary care provider established in Doral, Florida operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1013684992 assigned on August 2021. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ernesto Guevara Pmhnp (Ceo/ambr)

NPI
1013684992
Provider Name
EXCELLENCE CARE FLORIDA LLC
Entity Type
Organization
Location Address
4005 NW 114TH AVE UNIT 22 DORAL, FL 33178
Location Phone
(786) 366-2050
Mailing Address
14113 SW 161ST CT MIAMI, FL 33196
Mailing Phone
(786) 366-2050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2021
Last Update Date
07-28-2025
Code Navigator

A primary care provider (PCP) like Excellence Care Florida Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 7171 SW 62nd Ave
    South Miami, FL 33143
    (786) 366-2050
  • 1469 NW 36th St
    Miami, FL 33142
    (786) 366-2050

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
3363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

 
4363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
5363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERNESTO GUEVARA PMHNP

Authorized Official Title
CEO/AMBR
Authorized Official Phone
(786) 366-2050

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2314125
Facility Type
Community Clinic
Certificate Effective Date
November 14, 2024
Certificate Expiration Date
November 13, 2026
Laboratory Director
ERNESTO GUEVARA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Excellence Care Florida Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013684992, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 2 + 8 + 8 + 9 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1013684992.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Community/Behavioral Health
4005 NW 114TH AVE UNIT 22
DORAL, FL 33178
Clinic/Center (Research)
4005 NW 114TH AVE UNIT 22
DORAL, FL 33178
Nurse Practitioner (Psychiatric/Mental Health)
4005 NW 114TH AVE UNIT 22
DORAL, FL 33178

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013684992, enumerated as an "organization" on August 27, 2021.

The provider is located at 4005 NW 114TH AVE UNIT 22 DORAL, FL 33178 and the phone number is (786) 366-2050.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.