EXCELLENCE MEDICAL & RESEARCH
NPI 1700596541
Nurse Practitioner - Family in Miami Gardens, FL

NPI Status: Active since December 02, 2022

Contact Information

111 NW 183RD ST STE 206
MIAMI GARDENS, FL
ZIP 33169
Phone: (786) 320-5229
Fax: (786) 320-5279

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 10D2225947
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-24-2027

About EXCELLENCE MEDICAL & RESEARCH

This page provides the complete NPI Profile along with additional information for Excellence Medical & Research, a provider established in Miami Gardens, Florida operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1700596541 assigned on December 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Miguel Angel Trujillo Perez Fnp-c (Nurse Practitioner)

NPI
1700596541
Provider Name
EXCELLENCE MEDICAL & RESEARCH
Entity Type
Organization
Location Address
111 NW 183RD ST STE 206 MIAMI GARDENS, FL 33169
Location Phone
(786) 320-5229
Location Fax
(786) 320-5279
Mailing Address
111 NW 183RD ST STE 206 MIAMI GARDENS, FL 33169
Mailing Phone
(786) 320-5229
Mailing Fax
(786) 320-5279
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-02-2022
Last Update Date
12-02-2022
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A nurse practitioner (NP) like Excellence Medical & Research is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIGUEL ANGEL TRUJILLO PEREZ FNP-C

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(714) 931-9877

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2225947
Facility Type
Physician Office
Certificate Effective Date
May 25, 2025
Certificate Expiration Date
May 24, 2027
Laboratory Director
ALEXANDER MARTINEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Excellence Medical & Research to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700596541
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001091258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 0 + 9 + 1 + 2 + 5 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1700596541 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558071324 MIGUEL TRUJILLO FNP
Individual
Nurse Practitioner (Family)111 NW 183RD ST STE 206
MIAMI GARDENS, FL 33169
(786) 320-5229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700596541, enumerated in the NPI registry as an "organization" on December 02, 2022

The provider is located at 111 Nw 183rd St Ste 206 Miami Gardens, Fl 33169 and the phone number is (786) 320-5229

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 10D2225947 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 02, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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