Tree of Life Medical Center Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

TREE OF LIFE MEDICAL CENTER CORP

Practice address

3625 NW 82ND Ave Ste 306
Doral, FL 33166-7601

Phone

(786) 337-3708

NPI assigned

Dec 6, 2023

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mailyn Lopez OliveraNPI 1679087910

Title

Owner

Phone

(786) 773-5216

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Mailyn Lopez Olivera

  • Family Nurse Practitioner
  • Doral, FL
  • NPI 1679087910
  Medicare reassignment NPD Authorized official
• Ramon Manuel Hernandez, M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1902819113
  Medicare reassignment NPD
• Mayrelis Quintero Busutil, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1437846938
  Medicare reassignment NPD

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1891562146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 306",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 306",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667601",
            "telephone_number": "786-337-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ OLIVERA",
        "authorized_official_first_name": "MAILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-773-5216"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Isabela Tovar Tajan
• Alejandra S Tovar
• Toxicology Testing Service, Inc
• Hoang-Yen Phan Tran, OT
• Trilce Travieso, RPH
• Jose A. Trespalacios, BS
• Tri R Wellness Center
• Tri-County Rehabilitation Inc
• Frank Triana
• Doris Triay-Merein, LCSW

• Health Service Clinic/Center in Doral, FL
• Providers in Doral, 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 May 21, 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.