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OTANTIK MEDICAL CENTER
NPI 1609683010
Clinic/Center - Primary Care in Miami Gardens, FL

Active since December 18, 2024CLIA 10D2335123 · Waiver
170 NW 189TH TER, SUITE C, MIAMI GARDENS, FL 33169(305) 650-1695(305) 675-2297 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2025, Dec 18, 2024 (2 updates tracked since 2024).

About Otantik Medical Center NPPES

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

OTANTIK MEDICAL CENTER (NPI 1609683010) is a healthcare organization registered as a primary care in Miami Gardens, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Fredo C Jean Francois, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609683010
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOTANTIK MEDICAL CENTER
Location Address170 NW 189TH TER, SUITE CMiami Gardens, FL 33169-4004
Mailing Address170 Nw 189 Ter Suite CMiami Gardens, FL 33169-4004 · (305) 650-1695 · Fax (305) 675-2297
Phone(305) 650-1695
Fax(305) 675-2297
Organization SubpartNo
Authorized OfficialFredo C Jean FrancoisCeo · (954) 882-0164
Enumeration DateDecember 18, 2024
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1609683010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
170 NW 189TH TER, Miami Gardens, FL 33169
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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 10D2335123

Otantik Medical Center, LLC · Miami Gardens, FL
Active · expires Dec 4, 2027
CLIA Number10D2335123
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorBelmar A. Irizarry-Garces
Laboratory Phone(305) 650-1695
Laboratory LocationOtantik Medical Center, LLC170 NW 189th Ter Suite C, Miami Gardens, FL 33169
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 Otantik Medical Center's NPI number?

The NPI number for Otantik Medical Center is 1609683010. It was assigned to this organization in the NPPES registry on December 18, 2024.

Where is Otantik Medical Center located?

Otantik Medical Center is located at 170 NW 189th Ter Suite C, Miami Gardens, FL 33169. The listed phone number is (305) 650-1695.

What is Otantik Medical Center's specialty?

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

Does Otantik Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2335123) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Otantik Medical Center was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.