ETERNITY MEDICAL GROUP CORP NPI 1083216022

NPI Information

  • NPI: 1083216022
  • Provider Name: ETERNITY MEDICAL GROUP CORP
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 900 SW 8TH ST STE C1
    MIAMI, FL
    ZIP 33130
  • Phone: (786) 332-3136

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NPI Details

ETERNITY MEDICAL GROUP CORP is a clinic center in Miami, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ETERNITY MEDICAL GROUP CORP NPI is 1083216022. The provider is registered as an organization entity type.

The provider's business location address is:

900 SW 8TH ST STE C1
MIAMI, FL
ZIP 33130-756
Phone: (786) 332-3136
Fax: (305) 726-0013

The provider's authorized official is Luis Aguilar .
The authorized official title is Owner/president and has the following contact phone number (786) 332-3136.

The enumeration date for this NPI number is 11/13/2020 and was last updated on 8/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5261QP2300XClinic/CenterPrimary CareNo
6291U00000XClinical Medical LaboratoryNo
7261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113052OTHERFLORIDAHEALTH CARE CLINIC STANDARD LICENSE
2108835400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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