LIFECARE MEDICAL CENTER GROUP LLC
NPI 1053112508
Clinic/Center in Miami, FL

Active since March 21, 2025CLIA 10D2327375 · Waiver
14221 SW 120TH ST STE 225, MIAMI, FL 33186(786) 608-9889 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lifecare Medical Center Group Llc NPPES

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

LIFECARE MEDICAL CENTER GROUP LLC (NPI 1053112508) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Lissue Rodriguez Miranda, Owner, as its authorized official.

NPPES Registry Identity

NPI1053112508
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIFECARE MEDICAL CENTER GROUP LLC
Location Address14221 SW 120TH ST STE 225Miami, FL 33186-4225
Mailing Address14221 Sw 120th St Ste 225Miami, FL 33186-4225 · (786) 608-9889
Organization SubpartNo
Authorized OfficialLissue Rodriguez MirandaOwner · (786) 608-9889
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1053112508 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).
14221 SW 120TH ST STE 225, Miami, FL 33186

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 of Waiver 10D2327375

Lifecare Medical Center Group LLC · Miami, FL
Active · expires Jul 21, 2027
CLIA Number10D2327375
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorIvette Espinosa-Fernandez
Laboratory Phone(786) 615-2550
Laboratory LocationLifecare Medical Center Group LLC14221 SW 120th St Ste 225, Miami, FL 33186
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
14221 SW 120TH ST STE 225
MIAMI, FL 33186
Nurse Practitioner (Psychiatric/Mental Health)
14221 SW 120TH ST STE 225
MIAMI, FL 33186
Clinic/Center (Mental Health (Including Community Mental Health Center))
14221 SW 120TH ST STE 225
MIAMI, FL 33186

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 Lifecare Medical Center Group LLC's NPI number?

The NPI number for Lifecare Medical Center Group LLC is 1053112508. It was assigned to this organization in the NPPES registry on March 21, 2025.

Where is Lifecare Medical Center Group LLC located?

Lifecare Medical Center Group LLC is located at 14221 SW 120th St Ste 225, Miami, FL 33186. The listed phone number is (786) 608-9889.

What is Lifecare Medical Center Group LLC's specialty?

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

Does Lifecare Medical Center Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2327375) is associated with this NPI, valid through July 21, 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 Lifecare Medical Center Group LLC was last updated on March 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.