Luna Nueva Health Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LUNA NUEVA HEALTH CENTER LLC

Practice address

13115 W Linebaugh Ave Ste 102
Tampa, FL 33626-4493

Phone

(813) 475-6200

Fax

(813) 475-6202

NPI assigned

Sep 9, 2025

Organization subpart

No

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

Authorized official

Name

Antonio J Martinez

Title

Owner

Phone

(813) 475-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucille Fernandez, LCSW

  • Clinical Social Worker
  • Bradenton, FL
  • NPI 1154566859
  Medicare reassignment NPD
• Syed S Hasan, M.D.

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1790895035
  Medicare reassignment

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1114808995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264493",
            "telephone_number": "813-475-6200",
            "fax_number": "813-475-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264493",
            "telephone_number": "813-475-6200",
            "fax_number": "813-475-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA NUEVA HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-475-6200"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lumina Pediatric Center, LLC
• Lumina Ppec Transport Services, LLC
• Lumora Care Group, LLC
• Daniel A Lumpuy, MD
• Luna Healthcare Partners LLC
• Paola Luna Victoria
• Priscilla Luna-Mitchum, DPT
• Garrett Christian Lund, CAA
• Rachel Kathleen Lundberg, PA-C
• Jessica Lundy

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.