TREE OF LIFE MEDICAL CENTER CORP
NPI 1891562146
Clinic/Center - Health Service in Doral, FL

Active since December 06, 2023CLIA 10D2324593 · Waiver
3625 NW 82ND AVE STE 306, DORAL, FL 33166(786) 337-3708 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2025, Jun 7, 2024, Dec 6, 2023 (3 updates tracked since 2023).

About Tree Of Life Medical Center Corp NPPES

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

TREE OF LIFE MEDICAL CENTER CORP (NPI 1891562146) is a healthcare organization registered as a health service in Doral, Florida and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Mailyn Lopez Olivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1891562146
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameTREE OF LIFE MEDICAL CENTER CORP
Location Address3625 NW 82ND AVE STE 306Doral, FL 33166-7601
Mailing Address3625 Nw 82nd Ave Ste 306Doral, FL 33166-7601
Organization SubpartNo
Authorized OfficialMailyn Lopez OliveraOwner · (786) 773-5216
Enumeration DateDecember 6, 2023
Last NPPES UpdateMay 21, 20253 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1891562146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedFamily MedicineTaxonomy 207Q00000X
3625 NW 82ND AVE STE 306, Doral, FL 33166

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Tree Of Life 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 Tree Of Life Medical Center Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1679087910
3625 NW 82ND AVE STE 306
Doral, FL 33166
(786) 773-5216
✔ PECOSSame address
General Practice
NPI 1902819113
799 SW 73RD CT STE B
Miami, FL 33144
(786) 747-4702
✔ PECOS✔ Accepts Medicare3.2 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 10D2324593

Tree Of Life Medical Center Corp · Doral, FL
Active · expires May 27, 2027
CLIA Number10D2324593
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorMailyn Lopez Olivera
Laboratory Phone(786) 773-5216
Laboratory LocationTree Of Life Medical Center Corp3625 NW 82nd Ave Suite 306, Doral, FL 33166
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 Tree Of Life Medical Center Corp's NPI number?

The NPI number for Tree Of Life Medical Center Corp is 1891562146. It was assigned to this organization in the NPPES registry on December 6, 2023.

Where is Tree Of Life Medical Center Corp located?

Tree Of Life Medical Center Corp is located at 3625 NW 82nd Ave Ste 306, Doral, FL 33166. The listed phone number is (786) 337-3708.

What is Tree Of Life Medical Center Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Tree Of Life Medical Center Corp enrolled in Medicare?

Yes. Tree Of Life Medical Center Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tree Of Life Medical Center Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tree Of Life Medical Center Corp, 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tree Of Life Medical Center Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2324593) is associated with this NPI, valid through May 27, 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 Tree Of Life Medical Center Corp was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.