ADVANTA HEALTH LLC
NPI 1366302960
Clinic/Center in Miami Lakes, FL

Q: What is Advanta Health LLC's NPI number?

The NPI number for Advanta Health LLC is 1366302960. It was assigned to this organization in the NPPES registry on November 15, 2025.

Q: What is Advanta Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 15, 2025CLIA 10D2341102 · Waiver

5190 NW 167TH ST STE 105, MIAMI LAKES, FL 33014(305) 974-5380(305) 974-5580 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Advanta Health Llc NPPES

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

ADVANTA HEALTH LLC (NPI 1366302960) is a healthcare organization registered as a clinic/center in Miami Lakes, Florida and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Gretel Montano, Owner / Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1366302960

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameADVANTA HEALTH LLC

Location Address5190 NW 167TH ST STE 105Miami Lakes, FL 33014-6329

Mailing Address5190 Nw 167th St Ste 105Miami Lakes, FL 33014-6329 · (305) 974-5380 · Fax (305) 974-5580

Phone(305) 974-5380

Fax(305) 974-5580

Organization SubpartNo

Authorized OfficialGretel MontanoOwner / Nurse Practitioner · (786) 296-5234

Enumeration DateNovember 15, 2025

NPPES CertifiedNovember 15, 2025

✔ NPI 1366302960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/Center · Primary CareTaxonomy 261QP2300X

5190 NW 167TH ST STE 105, Miami Lakes, FL 33014

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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 10D2341102

Advanta Health LLC · Miami Gardens, FL

Active · expires Mar 26, 2028

CLIA Number10D2341102

Laboratory TypePhysician Office

Certificate Effective DateMarch 27, 2026

Certificate Expiration DateMarch 26, 2028

Laboratory DirectorGretel Montano

Laboratory Phone(305) 974-5380

Laboratory LocationAdvanta Health LLC5190 NW 167th Street Suite 105, Miami Gardens, FL 33014

CLIA data matches this NPI record on: 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 Advanta Health LLC's NPI number?

The NPI number for Advanta Health LLC is 1366302960. It was assigned to this organization in the NPPES registry on November 15, 2025.

Where is Advanta Health LLC located?

Advanta Health LLC is located at 5190 NW 167th St Ste 105, Miami Lakes, FL 33014. The listed phone number is (305) 974-5380.

What is Advanta Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Advanta Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2341102) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanta Health LLC was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.