Eternal Life Medical Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ETERNAL LIFE MEDICAL CENTER LLC

Practice address

7382 NW 35TH Ter Ste 106
Miami, FL 33122-1241

Phone

(786) 306-3507

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Leandro Javier CorbelleNPI 1588399760

Title

Ceo

Phone

(786) 306-3507

Specialties & licenses 1

Addresses

Practitioners 1

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

• Leandro Corbelle

  • Non-emergency Medical Transport (VAN)
  • Hialeah, FL
  • NPI 1588399760
  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1376357939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 SW 147TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964112",
            "telephone_number": "786-306-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7382 NW 35TH TER STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221241",
            "telephone_number": "786-306-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL LIFE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "CORBELLE",
        "authorized_official_first_name": "LEANDRO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-306-3507"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Et Rehabilitation Center Inc.
• Mohamed Hamdan Mohamed Etafy, MD
• Etairos Health Inc
• Elias Georges Eter, M.D.
• Eterna Vida Medical Center LLC
• Eternal Life Services Corp
• Eternity Community Mental Health Corp
• Eternity Estates Corp.
• Eternity Life Care LLC
• Eternity Lives

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.