LUZ MEDICAL CENTER LLC NPI 1750849568

NPI Information

NPI: 1750849568
Provider Name: LUZ MEDICAL CENTER LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2154957

Address:
2387 W 68TH ST STE 303
HIALEAH, FL
ZIP 33016
Phone: (786) 376-5554
Get Directions

LUZ MEDICAL CENTER LLC is a family nurse practitioner in Hialeah, FL. LUZ MEDICAL CENTER LLC NPI is 1750849568. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2387 W 68TH ST STE 303
HIALEAH, FL
ZIP 33016-890
Phone: (786) 376-5554
Fax: (786) 298-5723

The provider's authorized official is Aimee Leyva Lopez .
The authorized official title is Sole Member and has the following contact phone number (786) 376-5554.

The CLIA number assigned to this NPI record is 10D2154957 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2019 and was last updated on 7/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APRN11000115	OTHER	FLORIDA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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