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: July 19, 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
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 · 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

Other Identifiers 2

Other13052FL · Health Care Clinic Standard License
Medicaid108835400FL

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
10D2262867
Facility Type
Physician Office
Certificate Effective Date
June 20, 2026
Certificate Expiration Date
June 19, 2028
Laboratory Director
LUIS CAMPILLO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eternity Medical Group Corp 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.

Reviews for ETERNITY MEDICAL GROUP CORP

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
900 SW 8TH ST STE C1
MIAMI, FL 33130
Clinic/Center (Multi-Specialty)
900 SW 8TH ST STE C1
MIAMI, FL 33130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083216022, enumerated as an "organization" on November 13, 2020.

The provider is located at 900 SW 8TH ST STE C1 MIAMI, FL 33130 and the phone number is (786) 332-3136.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.