MIAMI RESCUE MISSION CLINIC, INC
NPI 1154688174
Clinic/Center - Primary Care in Miami, FL

Active since April 16, 2012CLIA 10D2049243 · Waiver
2015 NW 1ST AVE, MIAMI, FL 33127(305) 571-2273(305) 572-2025 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miami Rescue Mission Clinic, Inc NPPES

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

MIAMI RESCUE MISSION CLINIC, INC (NPI 1154688174) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Pete A. Gutierrez, President, as its authorized official.

NPPES Registry Identity

NPI1154688174
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMIAMI RESCUE MISSION CLINIC, INC
Location Address2015 NW 1ST AVEMiami, FL 33127-4901
Mailing Address2015 Nw 1st AveMiami, FL 33127-4901 · (305) 571-2273 · Fax (305) 572-2025
Fax(305) 572-2025
Organization SubpartNo
Authorized OfficialPete A. GutierrezPresident · (305) 606-5317
Enumeration DateApril 16, 2012
Last NPPES UpdateJune 6, 2012
NPI 1154688174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in FL · PA3622
2015 NW 1ST AVE, Miami, FL 33127

Other Identifiers 3

Medicare UPINP05571FL
Medicaid3537400FL
Medicare PINE4050EFL

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 10D2049243

Miami Rescue Mission Clinic Inc · Miami, FL
Active · expires Oct 31, 2026
CLIA Number10D2049243
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorPete Gutierrez
Laboratory Phone(786) 866-5702
Laboratory LocationMiami Rescue Mission Clinic Inc2015 NW 1st Ave, Miami, FL 33127
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 14

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

General Practice
2015 NW 1ST AVE
MIAMI, FL 33127
Physician Assistant
2015 NW 1ST AVE
MIAMI, FL 33127
Internal Medicine
2015 NW 1ST AVE
MIAMI, FL 33127
Clinic/Center (Community Health)
2015 NW 1ST AVE
MIAMI, FL 33127
Advanced Practice Midwife
2015 NW 1ST AVE
MIAMI, FL 33127
Physician Assistant
2015 NW 1ST AVE
MIAMI, FL 33127
Pediatrics
2015 NW 1ST AVE
MIAMI, FL 33127
Respiratory Therapist, Certified (Critical Care)
2015 NW 1ST AVE
MIAMI, FL 33127

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 Miami Rescue Mission Clinic, Inc's NPI number?

The NPI number for Miami Rescue Mission Clinic, Inc is 1154688174. It was assigned to this organization in the NPPES registry on April 16, 2012.

Where is Miami Rescue Mission Clinic, Inc located?

Miami Rescue Mission Clinic, Inc is located at 2015 NW 1st Ave, Miami, FL 33127. The listed phone number is (305) 571-2273.

What is Miami Rescue Mission Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Miami Rescue Mission Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2049243) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miami Rescue Mission Clinic, Inc was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.