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ETERNITY MEDICAL GROUP CORP
NPI 1083216022
Clinic/Center in Miami, FL

Active since November 13, 2020CLIA 10D2262867 · Waiver
900 SW 8TH ST STE C1, MIAMI, FL 33130(786) 332-3136(305) 726-0013 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Jul 16, 2024, Feb 18, 2022 and 1 more (4 updates tracked since 2020).

About Eternity Medical Group Corp NPPES

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

ETERNITY MEDICAL GROUP CORP (NPI 1083216022) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists Luis Aguilar, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1083216022
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameETERNITY MEDICAL GROUP CORP
Location Address900 SW 8TH ST STE C1Miami, FL 33130-3756
Mailing Address900 Sw 8th St Ste C1Miami, FL 33130-3756 · (786) 332-3136 · Fax (305) 726-0013
Phone(786) 332-3136
Fax(305) 726-0013
Organization SubpartNo
Authorized OfficialLuis AguilarOwner/president · (786) 332-3136
Enumeration DateNovember 13, 2020
Last NPPES UpdateAugust 14, 20254 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1083216022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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).
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
900 SW 8TH ST STE C1, Miami, FL 33130
Open in Google Maps ↗

Other Identifiers 2

Other13052FL · Health Care Clinic Standard License
Medicaid108835400FL

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 10D2262867

Eternity Medical Group Corp · Miami, FL
Active · expires Jun 19, 2028
CLIA Number10D2262867
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorLuis Campillo
Laboratory Phone(786) 332-3136
Laboratory LocationEternity Medical Group Corp900 SW 8th St, Ste C-1, Miami, FL 33130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ETERNITY MEDICAL GROUP CORP
Non-emergency Medical Transport (VAN)
900 SW 8TH ST STE C1
MIAMI, FL 33130
Miami-Dade County (786) 332-3136
ETERNITY MEDICAL GROUP CORP
Clinic/Center (Multi-Specialty)
900 SW 8TH ST STE C1
MIAMI, FL 33130
Miami-Dade County (786) 332-3136

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 Eternity Medical Group Corp's NPI number?

The NPI number for Eternity Medical Group Corp is 1083216022. It was assigned to this organization in the NPPES registry on November 13, 2020.

Where is Eternity Medical Group Corp located?

Eternity Medical Group Corp is located at 900 SW 8th St Ste C1, Miami, FL 33130. The listed phone number is (786) 332-3136.

What is Eternity Medical Group Corp's specialty?

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

Does Eternity Medical Group Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2262867) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eternity Medical Group Corp was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.