ELITE BEAUTY MEDICAL CENTER CORP
NPI 1558228924
Family Medicine - Adult Medicine in Miami, FL

Active since January 07, 2026CLIA 10D2337704 · Waiver
911 SW 87TH AVE, MIAMI, FL 33174(305) 988-8260(786) 686-9175 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Elite Beauty Medical Center Corp NPPES

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

ELITE BEAUTY MEDICAL CENTER CORP (NPI 1558228924) is a healthcare organization registered as an adult medicine in Miami, Florida and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Lorena Restrepo, President, as its authorized official.

NPPES Registry Identity

NPI1558228924
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameELITE BEAUTY MEDICAL CENTER CORP
Location Address911 SW 87TH AVEMiami, FL 33174-3206
Mailing Address911 Sw 87th AveMiami, FL 33174-3206 · (305) 988-8260 · Fax (786) 686-9175
Fax(786) 686-9175
Organization SubpartNo
Authorized OfficialLorena RestrepoPresident · (305) 988-8260
Enumeration DateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1558228924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
911 SW 87TH AVE, Miami, FL 33174

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Beauty Medical Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Beauty Medical Center Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1902625908
911 SW 87TH AVE
Miami, FL 33174
(305) 988-8260
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1811432719
911 SW 87TH AVE
Miami, FL 33174
(305) 988-8260
✔ PECOS✔ Accepts MedicareSame address

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 10D2337704

Elite Beauty Medical Center Corp · Miami, FL
Active · expires Jan 27, 2028
CLIA Number10D2337704
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorLorena Restrepo
Laboratory Phone(305) 988-8260
Laboratory LocationElite Beauty Medical Center Corp911 SW 87th Ave, Miami, FL 33174
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 Elite Beauty Medical Center Corp's NPI number?

The NPI number for Elite Beauty Medical Center Corp is 1558228924. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is Elite Beauty Medical Center Corp located?

Elite Beauty Medical Center Corp is located at 911 SW 87th Ave, Miami, FL 33174. The listed phone number is (305) 988-8260.

What is Elite Beauty Medical Center Corp's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Elite Beauty Medical Center Corp enrolled in Medicare?

Yes. Elite Beauty Medical Center Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Beauty Medical Center Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Elite Beauty Medical Center Corp, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Beauty Medical Center Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2337704) is associated with this NPI, valid through January 27, 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 Elite Beauty Medical Center Corp was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.