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OLIVOS MEDICAL CENTER AND SPA, LLC
NPI 1336912633
Family Medicine in Homestead, FL

Active since October 30, 2023CLIA 10D2310998 · Waiver
25001 SW 127TH AVE STE 202, HOMESTEAD, FL 33032(786) 317-7495 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Oct 30, 2023 (2 updates tracked since 2023).

About Olivos Medical Center And Spa, Llc NPPES

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

OLIVOS MEDICAL CENTER AND SPA, LLC (NPI 1336912633) is a healthcare organization registered as a family medicine in Homestead, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Rene David Sifontes Mejias, Owner, as its authorized official.

NPPES Registry Identity

NPI1336912633
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLIVOS MEDICAL CENTER AND SPA, LLC
Location Address25001 SW 127TH AVE STE 202Homestead, FL 33032-5834
Mailing Address25001 Sw 127th Ave Ste 202Homestead, FL 33032-5834 · (786) 317-7495
Phone(786) 317-7495
Organization SubpartNo
Authorized OfficialRene David Sifontes MejiasOwner · (786) 317-7495
Enumeration DateOctober 30, 2023
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1336912633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25001 SW 127TH AVE STE 202, Homestead, FL 33032
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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 10D2310998

Olivos Medical Center And Spa LLC · Princeton, FL
Active · expires Sep 15, 2026
CLIA Number10D2310998
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorRene D. Sifontes Mejias
Laboratory Phone(786) 317-7495
Laboratory LocationOlivos Medical Center And Spa LLC25001 SW 127th Ave Suite 202, Princeton, FL 33032
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 3

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

RENE SIFONTES MEJIAS
Nurse Practitioner (Family)
25001 SW 127TH AVE STE 202
HOMESTEAD, FL 33032
Miami-Dade County (786) 339-9844
PHOENIX BEHAVIOR SERVICES ABA LLC
Behavior Technician
25001 SW 127TH AVE STE 202
HOMESTEAD, FL 33032
Miami-Dade County (786) 286-1452
ADT BEHAVIOR SERVICES LLC
Behavior Analyst
25001 SW 127TH AVE STE 202
HOMESTEAD, FL 33032
Miami-Dade County (786) 720-1863

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 Olivos Medical Center And Spa, LLC's NPI number?

The NPI number for Olivos Medical Center And Spa, LLC is 1336912633. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Olivos Medical Center And Spa, LLC located?

Olivos Medical Center And Spa, LLC is located at 25001 SW 127th Ave Ste 202, Homestead, FL 33032. The listed phone number is (786) 317-7495.

What is Olivos Medical Center And Spa, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Olivos Medical Center And Spa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2310998) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Olivos Medical Center And Spa, LLC accept?

Health plans from AmeriHealth Caritas Next list Olivos Medical Center And Spa, LLC 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 Olivos Medical Center And Spa, LLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.