Organization Active NPI

Elite Care Medical Institute

  • Primary Care Clinic/Center
  • Miami Springs, FL
National Provider Identifier
1598652091
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ELITE CARE MEDICAL INSTITUTE
Practice address
4471 NW 36TH St Ste 230a
Miami Springs, FL 33166-7289
Phone
(786) 238-7335
Fax
(786) 558-5707
NPI assigned
Jun 18, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Maria A Trejos
Title
Ceo
Phone
(786) 238-7335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4471 NW 36TH St Ste 230a
Miami Springs, FL 33166-7289

Mailing address

4471 NW 36TH St Ste 230a
Miami Springs, FL 33166-7289
Phone (786) 238-7335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805002970 FL Part B Supplier - Clinic/Group Practice 7517475098 Receives reassigned benefits from 9 practitioners
Practice locations: Miami Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2330228Elite Care Medical Institute4471 NW 36TH St, Suite 230a, Miami Springs, FL 33166Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

4471 NW 36th St
Ste 230A
Miami Springs, FL 33166
Phone (786) 238-7335

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1598652091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH ST STE 230A",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667289",
            "telephone_number": "786-238-7335",
            "fax_number": "786-558-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH ST STE 230A",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667289",
            "telephone_number": "786-238-7335",
            "fax_number": "786-558-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE MEDICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "TREJOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-238-7335"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.