Luque Medical Center

LBN: Luque Medical Center
Luque Medical Center is an health care organization with primary practice located at 13205 Sw 137Th Ave Ste 128 , Miami FL 33186-5334. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Luque Medical Center can be contacted via phone (786) 362-2881, or through Gutierrez, Olga M via phone (786) 362-2818.

Contact Information

Primary practice address
13205 Sw 137Th Ave Ste 128 Miami FL 33186-5334
Phone: (786) 362-2881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gutierrez, Olga M
Phone: (786) 362-2818

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1205415197
LBN Legal business name Luque Medical Center
DBA Doing business as
Authorized official Gutierrez, Olga M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2021
Last updated Apr 17th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205415197 NPPES
Florida MEDICAID 110186800

Popular Providers