Organization Active NPI

Infinity Life Wellness Center Inc

  • Specialist
  • Miami, FL
National Provider Identifier
1154926947
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INFINITY LIFE WELLNESS CENTER INC
Practice address
13701 SW 88TH St Ste 302
Miami, FL 33186-1309
Phone
(786) 842-1489
Fax
(786) 842-1490
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Erick Espinoza
Title
Officer
Phone
(786) 842-1489

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

13701 SW 88TH St Ste 302
Miami, FL 33186-1309

Mailing address

13701 SW 88TH St Ste 302
Miami, FL 33186-1309
Phone (786) 842-1489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220113002802 FL Part B Supplier - Clinic/Group Practice 5799177150 Receives reassigned benefits from 7 practitioners
Practice locations: Miami, FL
O20240716005049 FL Part A Provider - Community Mental Health Center 5799177150 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Infinity Life Wellness Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2680 NW 97th Ave
Doral, FL 33172

13701 SW 88th St
Ste 302
Miami, FL 33186
Phone (786) 616-2146

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1154926947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 SW 88TH ST STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861309",
            "telephone_number": "786-842-1489",
            "fax_number": "786-842-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 SW 88TH ST STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861309",
            "telephone_number": "786-842-1489",
            "fax_number": "786-842-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY LIFE WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "786-842-1489"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.