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

Q: 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.

Q: What is Altius Medical Center LLC's specialty?

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

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: October 18, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Altius Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Altius Medical Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Roberto Reyes Nieves, APRN

Nurse Practitioner

NPI 1992303101

14221 SW 120TH ST STE 129
Miami, FL 33186

(862) 929-6507

✔ PECOSSame address

Alian Hernandez Lopez

General Practice

NPI 1710333596

167 W 23RD ST
Hialeah, FL 33010

(305) 823-3312

✔ PECOS✔ Accepts Medicare16 mi

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 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.

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.

Is Altius Medical Center LLC enrolled in Medicare?

Yes. Altius Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Altius Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Altius Medical Center LLC, in General Practice 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 2 years 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.