LUMINI MEDICAL SPA CORP NPI 1770436693

NPI Information

  • NPI: 1770436693
  • Provider Name: LUMINI MEDICAL SPA CORP
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 19565 BISCAYNE BLVD STE 1954
    AVENTURA, FL
    ZIP 33180
  • Phone: (305) 974-2434

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NPI Details

LUMINI MEDICAL SPA CORP is a medical specialty clinic center in Aventura, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LUMINI MEDICAL SPA CORP NPI is 1770436693. The provider is registered as an organization entity type.

The provider's business location address is:

19565 BISCAYNE BLVD STE 1954
AVENTURA, FL
ZIP 33180-392
Phone: (305) 974-2434

The provider's authorized official is Antonio Divino Dutra Filho .
The authorized official title is Owner / Agent and has the following contact phone number (305) 798-1902.

The enumeration date for this NPI number is 2/19/2026 and was last updated on 2/19/2026.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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