Organization Active NPI

Briliant Medical Group

Doing business as Brilliant Medical Group LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1376352153
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRILIANT MEDICAL GROUP
Doing business as
Brilliant Medical Group LLC
Practice address
13550 SW 88TH St Ste 110
Miami, FL 33186-1513
Phone
(305) 439-7360
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Luenys Oquendo Rodriguez
Title
Owner
Phone
(305) 439-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13550 SW 88TH St Ste 110
Miami, FL 33186-1513

Mailing address

13550 SW 88TH St Ste 110
Miami, FL 33186-1513
Phone (305) 439-7360

Other names 1

  • BRILLIANT MEDICAL GROUP LLC Doing business as

National Provider Directory

National Provider Directory

Locations

13550 SW 88th St
Ste 110
Miami, FL 33186
Phone (305) 408-7353

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1376352153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 SW 88TH ST STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861513",
            "telephone_number": "305-439-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 SW 88TH ST STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861513",
            "telephone_number": "305-439-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILIANT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "OQUENDO RODRIGUEZ",
        "authorized_official_first_name": "LUENYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-439-7360"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRILLIANT MEDICAL GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.