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ALTIUS MEDICAL CENTER LLC
NPI 1770204141
Internal Medicine in Miami, FL

Active since September 06, 2022CLIA 10D2281345 · Waiver
14221 SW 120TH ST STE 129, MIAMI, FL 33186(786) 292-9650(786) 420-3240 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2023, Sep 6, 2022 (2 updates tracked since 2022).

About Altius Medical Center Llc NPPES

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

ALTIUS MEDICAL CENTER LLC (NPI 1770204141) is a healthcare organization registered as an internal medicine in Miami, Florida and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Alian Hernandez Lopez, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1770204141
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameALTIUS MEDICAL CENTER LLC
Location Address14221 SW 120TH ST STE 129Miami, FL 33186-7463
Mailing Address14221 Sw 120th St Ste 129Miami, FL 33186-7463 · (786) 292-9650 · Fax (786) 420-3240
Phone(786) 292-9650
Fax(786) 420-3240
Organization SubpartNo
Authorized OfficialAlian Hernandez LopezAuthorized Official · (305) 988-5000
Enumeration DateSeptember 6, 2022
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1770204141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
14221 SW 120TH ST STE 129, Miami, FL 33186
Open in Google Maps ↗

Other Identifiers 1

OtherIDFL · 55555

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D2281345

Altius Medical Center LLC · Miami, FL
Active · expires May 4, 2027
CLIA Number10D2281345
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorAlian Lopez Hernandez
Laboratory Phone(786) 292-9650
Laboratory LocationAltius Medical Center LLC14221 SW 120 St, Ste 129, Miami, FL 33186
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 5

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

LUIS O MONTEAGUDO PA
Physician Assistant (Medical)
14221 SW 120TH ST STE 129
MIAMI, FL 33186
Miami-Dade County (305) 988-5000
YAIMI QUINTANA MARRERO APRN
Nurse Practitioner (Family)
14221 SW 120TH ST STE 129
MIAMI, FL 33186
Miami-Dade County (786) 292-9650
FLORIDA BARIATRICS AND NUTRITION
Dietary Manager
14221 SW 120TH ST STE 129
MIAMI, FL 33186
Miami-Dade County (305) 279-3502
TAMIAMI MEDICAL SERVICES, LLC
General Practice
14221 SW 120TH ST STE 129
MIAMI, FL 33186
Miami-Dade County (305) 279-1515
ROBERTO REYES NIEVES APRN
Nurse Practitioner (Family)
14221 SW 120TH ST STE 129
MIAMI, FL 33186
Miami-Dade County (862) 929-6507

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 Altius Medical Center LLC's NPI number?

The NPI number for Altius Medical Center LLC is 1770204141. It was assigned to this organization in the NPPES registry on September 6, 2022.

Where is Altius Medical Center LLC located?

Altius Medical Center LLC is located at 14221 SW 120th St Ste 129, Miami, FL 33186. The listed phone number is (786) 292-9650.

What is Altius Medical Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Altius Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2281345) is associated with this NPI, valid through May 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 Altius Medical Center LLC was last updated on August 29, 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.