Beautiful Life Medical Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BEAUTIFUL LIFE MEDICAL CENTER

Practice address

16251 N Cleveland Ave Ste 9
North Fort Myers, FL 33903-2176

Phone

(239) 486-3544

NPI assigned

Apr 25, 2025

Organization subpart

No

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

Authorized official

Name

Santiago Oliva Perez

Title

President

Phone

(239) 486-3544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1467240028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16251 N CLEVELAND AVE STE 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339032176",
            "telephone_number": "239-486-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 N CLEVELAND AVE STE 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339032176",
            "telephone_number": "239-486-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL LIFE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "OLIVA PEREZ",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-486-3544"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Grace Bancroft
• Randall Barber
• Jeniffer Lazara Barrueta Diaz
• Jedediah R Beaman, A.G.B., A.M.
• Brinetta Lacole Beauflan
• Nardos Tizazu Bekele
• John Bender
• Paula Bender
• Ailyn Benitez
• Grace Berry, AU.D.

• Health Service Clinic/Center in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.