A PRESTIGE WELLNESS CENTER, PA
NPI 1093969024
Internal Medicine in Doral, FL

Q: What is A Prestige Wellness Center, PA's NPI number?

The NPI number for A Prestige Wellness Center, PA is 1093969024. It was assigned to this organization in the NPPES registry on November 4, 2008.

Q: What is A Prestige Wellness Center, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 04, 2008CLIA 10D1106440 · Waiver

3650 NW 82 AVE, SUITE #503, DORAL, FL 33166(305) 433-2005(305) 591-8020 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About A Prestige Wellness Center, Pa NPPES

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

A PRESTIGE WELLNESS CENTER, PA (NPI 1093969024) is a healthcare organization registered as an internal medicine in Doral, Florida and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Luis A Martinez, Owner, as its authorized official.

NPPES Registry Identity

NPI1093969024

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameA PRESTIGE WELLNESS CENTER, PA

Location Address3650 NW 82 AVE, SUITE #503Doral, FL 33166

Mailing Address3650 Nw 82 Ave, Suite #503Doral, FL 33166 · (305) 433-2005 · Fax (305) 591-8020

Phone(305) 433-2005

Fax(305) 591-8020

Organization SubpartNo

Authorized OfficialLuis A MartinezOwner · (305) 433-2005

Enumeration DateNovember 4, 2008

Last NPPES UpdateAugust 16, 2010

✔ NPI 1093969024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME96872

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3650 NW 82 AVE, Doral, FL 33166

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Other Identifiers 3

Medicare UPINI62978

Medicare UPINI69278FL

Medicaid273654301FL

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Prestige Wellness Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to A Prestige Wellness Center, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Luis Martinez, MD

Internal Medicine

NPI 1972605533

3650 NW 82 AVE SUITE #503
Doral, FL 33166

(305) 433-2005

✔ PECOS✔ Accepts MedicareSame address

Crosleivis Rodriguez

Nurse Practitioner

NPI 1982242335

860 NW 42ND AVE. SUITE 101
Miami, FL 33126

(305) 204-0333

✔ PECOS✔ Accepts Medicare4.5 mi

Pedro Noya, ARNP

Nurse Practitioner

NPI 1891957999

3661 S MIAMI AVE STE 901
Miami, FL 33133

(786) 717-8003

✔ PECOS✔ Accepts Medicare8.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D1106440

A Prestige Wellness Center PA · Doral, FL

Active · expires Oct 13, 2027

CLIA Number10D1106440

Laboratory TypePhysician Office

Certificate Effective DateOctober 14, 2025

Certificate Expiration DateOctober 13, 2027

Laboratory DirectorLuis A. Martinez MD

Laboratory Phone(305) 433-2005

Laboratory LocationA Prestige Wellness Center PA3650 NW 82 Ave Ste 503, Doral, FL 33166

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 A Prestige Wellness Center, PA's NPI number?

The NPI number for A Prestige Wellness Center, PA is 1093969024. It was assigned to this organization in the NPPES registry on November 4, 2008.

Where is A Prestige Wellness Center, PA located?

A Prestige Wellness Center, PA is located at 3650 NW 82 Ave Suite #503, Doral, FL 33166. The listed phone number is (305) 433-2005.

What is A Prestige Wellness Center, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is A Prestige Wellness Center, PA enrolled in Medicare?

Yes. A Prestige Wellness Center, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Prestige Wellness Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to A Prestige Wellness Center, PA, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does A Prestige Wellness Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1106440) is associated with this NPI, valid through October 13, 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 A Prestige Wellness Center, PA was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.