Luque Medical Center

Primary specialty

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

Legal business name

LUQUE MEDICAL CENTER

Practice address

13205 SW 137TH Ave Ste 128
Miami, FL 33186-5334

Phone

(786) 362-2881

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Olga M Gutierrez

Title

Ceo

Phone

(786) 362-2818

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Luque Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luque Medical Center, Corp

  • Case Management Agency
  • Miami, FL
  • NPI 1700533643
  NPD tax ID

Practitioners 1

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

• Olga Mary Gutierrez Gutierrez

  • Behavior Technician
  • Miami, FL
  • NPI 1437648169
  NPD

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1205415197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 128",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865334",
            "telephone_number": "786-362-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 128",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865334",
            "telephone_number": "786-362-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUQUE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-362-2818"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110186800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla S Lupi, MD
• Natalie Lupianez-Merly
• Matthew Samuel Lupu, DMD
• Sara Luque Casado
• Mayelin Luque Cordovi
• Luque Medical Center, Corp
• Kevin Silver Luque-Sanchez, MD
• Jenna Luque, MA, CCC-SLP
• Jocelyn Luquez, APRN, FNP-C
• Simone J Lurch

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, 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 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.