OLYMPUS MEDICAL WELLNESS CENTER CORP
NPI 1467173674
Clinic/Center - Primary Care in Miami, FL

Active since September 06, 2022CLIA 10D2270290 · Waiver
3611 SW 87TH AVE, MIAMI, FL 33165(305) 424-7343(305) 547-9565 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olympus Medical Wellness Center Corp NPPES

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

OLYMPUS MEDICAL WELLNESS CENTER CORP (NPI 1467173674) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Raul L Diaz Gil, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1467173674
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOLYMPUS MEDICAL WELLNESS CENTER CORP
Location Address3611 SW 87TH AVEMiami, FL 33165-4307
Mailing Address468 Nw 27th AveMiami, FL 33125-3040
Fax(305) 547-9565
Organization SubpartNo
Authorized OfficialRaul L Diaz GilAuthorized Official · (786) 872-6133
Enumeration DateSeptember 6, 2022
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
NPI 1467173674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3611 SW 87TH AVE, Miami, FL 33165

Other Identifiers 1

Other11151515FL · Ins

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 10D2270290

Olympus Wellness Medical Center Corp · Miami, FL
Active · expires Oct 11, 2026
CLIA Number10D2270290
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorGabriel Betancourt
Laboratory Phone(786) 790-3271
Laboratory LocationOlympus Wellness Medical Center Corp3611 SW 87th Ave, Miami, FL 33165
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
3611 SW 87TH AVE
MIAMI, FL 33165
Psychiatry & Neurology (Psychiatry)
3611 SW 87TH AVE, SUITE 104
MIAMI, FL 33165
Registered Nurse (Oncology)
3611 SW 87TH AVE
MIAMI, FL 33165
Internal Medicine (Hematology & Oncology)
3611 SW 87TH AVE
MIAMI, FL 33165
Counselor (Mental Health)
3611 SW 87TH AVE, SUITE 104
MIAMI, FL 33165
Family Medicine
3611 SW 87TH AVE
MIAMI, FL 33165

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 Olympus Medical Wellness Center Corp's NPI number?

The NPI number for Olympus Medical Wellness Center Corp is 1467173674. It was assigned to this organization in the NPPES registry on September 6, 2022.

Where is Olympus Medical Wellness Center Corp located?

Olympus Medical Wellness Center Corp is located at 3611 SW 87th Ave, Miami, FL 33165. The listed phone number is (305) 424-7343.

What is Olympus Medical Wellness Center Corp's specialty?

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

Does Olympus Medical Wellness Center Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2270290) is associated with this NPI, valid through October 11, 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 Olympus Medical Wellness Center Corp was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.