NPIMap

Organization Active NPI

Eternity Medical Group Corp

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1649108515
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ETERNITY MEDICAL GROUP CORP
Practice address
900 SW 8TH St Ste C1
Miami, FL 33130-3756
Phone
(786) 332-3136
Fax
(305) 726-0013
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Luis Aguilar
Title
Owner/Ceo
Phone
(786) 332-3136

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

900 SW 8TH St Ste C1
Miami, FL 33130-3756

Mailing address

900 SW 8TH St Ste C1
Miami, FL 33130-3756
Phone (786) 332-3136

National Provider Directory

National Provider Directory
Tax ID family
Eternity Medical Group Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1649108515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SW 8TH ST STE C1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303756",
            "telephone_number": "786-332-3136",
            "fax_number": "305-726-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 8TH ST STE C1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303756",
            "telephone_number": "786-332-3136",
            "fax_number": "305-726-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "786-332-3136"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 11, 2026; 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.