1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Family Medicine
  6. NPI Profile

MILLENIUM MEDICAL GROUP CORP.
NPI 1093287377
Family Medicine - Adult Medicine in Miami, FL

Active since December 26, 2018CLIA 10D2158574 · Waiver
2720 SW 97TH AVE STE C105, MIAMI, FL 33165(786) 332-4330(786) 332-4109 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2025, Dec 26, 2018 (2 updates tracked since 2018).

About Millenium Medical Group Corp. NPPES

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

MILLENIUM MEDICAL GROUP CORP. (NPI 1093287377) is a healthcare organization registered as an adult medicine in Miami, Florida and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Damarys Quiriello, President, as its authorized official.

NPPES Registry Identity

NPI1093287377
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMILLENIUM MEDICAL GROUP CORP.
Location Address2720 SW 97TH AVE STE C105Miami, FL 33165-2677
Mailing Address2720 Sw 97th Ave Ste C105Miami, FL 33165-2677 · (786) 332-4330 · Fax (786) 332-4109
Phone(786) 332-4330
Fax(786) 332-4109
Organization SubpartYes
Authorized OfficialDamarys QuirielloPresident · (786) 332-4330
Enumeration DateDecember 26, 2018
Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1093287377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2720 SW 97TH AVE STE C105, Miami, FL 33165
Open in Google Maps ↗

Other Identifiers 1

Medicaid023735400FL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Moda Health Plan, Inc., Molina Healthcare and more.Insurance ›

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 10D2158574

Millenium Medical Group Corp · Miami, FL
Active · expires Dec 2, 2026
CLIA Number10D2158574
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorManuel A. Franco
Laboratory Phone(786) 332-4330
Laboratory LocationMillenium Medical Group Corp2720 SW 97th Ave C-105, Miami, FL 33165
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

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

MILLENIUM MEDICAL GROUP CORP
Case Management
2720 SW 97TH AVE STE C105
MIAMI, FL 33165
Miami-Dade County (786) 332-4330

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 Millenium Medical Group Corp.'s NPI number?

The NPI number for Millenium Medical Group Corp. is 1093287377. It was assigned to this organization in the NPPES registry on December 26, 2018.

Where is Millenium Medical Group Corp. located?

Millenium Medical Group Corp. is located at 2720 SW 97th Ave Ste C105, Miami, FL 33165. The listed phone number is (786) 332-4330.

What is Millenium Medical Group Corp.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Millenium Medical Group Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2158574) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Millenium Medical Group Corp. accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Moda Health Plan, Inc., Molina Healthcare and Sanford Health Plan list Millenium Medical Group Corp. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Millenium Medical Group Corp. was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.