Organization Active NPI

Quality Healthy Life Medical Centers, LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1063294213
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QUALITY HEALTHY LIFE MEDICAL CENTERS, LLC
Practice address
13335 SW 124TH St Ste 212
Miami, FL 33186-7515
Phone
(305) 443-2488
Fax
(786) 732-0460
NPI assigned
Oct 20, 2023
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natalio DelgadoNPI 1255193595
Title
Owner
Phone
(305) 433-2488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

13335 SW 124TH St Ste 212
Miami, FL 33186-7515

Mailing address

13335 SW 124TH St Ste 212
Miami, FL 33186-7515
Phone (305) 443-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220000030 FL Part B Supplier - Clinic/Group Practice 7315381217 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2303225Quality Healthy Life Medical Centers, LLC13335 SW 124TH Street, Ste 212, Miami, FL 33186Certificate of waiverApr 22, 2028

National Provider Directory

National Provider Directory

Locations

13335 SW 124th St
Ste 212
Miami, FL 33186
Phone (305) 433-2488

8370 W Flagler St
Ste 120
Miami, FL 33144
Phone (305) 222-8365

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1063294213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "305-443-2488",
            "fax_number": "786-732-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "305-443-2488",
            "fax_number": "786-732-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HEALTHY LIFE MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "NATALIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-433-2488"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.