Active NPI
Excellent Lifestyle Services Inc
- Clinic/Center
- Miami, FL
National Provider Identifier
1376426924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EXCELLENT LIFESTYLE SERVICES INC
- Practice address
- 777 NW 72 Ave
R2102
Miami, FL 33126-3009 - Phone
- (954) 669-4235
- NPI assigned
- Jul 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ludmila De la Concepcion, MD
- Title
- Director
- Phone
- (954) 669-4235
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
777 NW 72 Ave
R2102
Miami, FL 33126-3009
Mailing address
777 NW 72 Ave
R2102
Miami, FL 33126-3009
Phone (954) 669-4235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
777 NW 72nd Ave
#R2102
Miami, FL 33126
Phone (954) 669-4235
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Doral, FL
- NPI 1467846295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1376426924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 NW 72 AVE",
"address_2": "R2102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263009",
"telephone_number": "954-669-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NW 72 AVE",
"address_2": "R2102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263009",
"telephone_number": "954-669-4235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENT LIFESTYLE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"status": "A",
"authorized_official_last_name": "DE LA CONCEPCION",
"authorized_official_first_name": "LUDMILA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "954-669-4235",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Excellent Health Solution Corp
- Excellent Home Health Care, Inc.
- Excellent Home Medical Equipment Corp.
- Excellent Home Services Corp
- Excellent Laboratories Inc
- Excellent Medical Care Inc
- Excellent Medical Center LLC
- Excellent Pharmacy & Discount
- Excellent Rehab and Medical Center, Inc
- Excellent Rehab and Medical Staffing Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.