Altius Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ALTIUS MEDICAL CENTER LLC

Practice address

14221 SW 120TH St Ste 129
Miami, FL 33186-7463

Phone

(786) 292-9650

Fax

(786) 420-3240

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Alian Hernandez Lopez, MDNPI 1710333596

Title

Authorized Official

Phone

(305) 988-5000

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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

• Alian Hernandez Lopez

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1710333596
  Medicare reassignment NPD Authorized official
• Roberto Reyes Nieves, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1992303101
  Medicare reassignment NPD
• Luis O Monteagudo, PA

  • Medical Physician Assistant
  • Miami, FL
  • NPI 1083272959

  Single Specialty

  NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1770204141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867463",
            "telephone_number": "786-292-9650",
            "fax_number": "786-420-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867463",
            "telephone_number": "786-292-9650",
            "fax_number": "786-420-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTIUS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ LOPEZ",
        "authorized_official_first_name": "ALIAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-988-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "55555",
            "identifier": "ID",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Ermanise Altidor, RRT
• Tracey Altidor, ARNP
• Christopher Altieri, DPT
• Altima Dental Group of West Kendall, LLC
• Altius Management Services LLC
• Altiv Group Inc
• Erica H Altman
• Michael Warren Altman, D.C., M.D.
• Nolan Altman, MD
• Sanford David Altman, M.D.

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.

Verify at the official NPI Registry.