Organization Active NPI

Luna 11, Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1275864860
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10304 Issued in FL
Legal business name
LUNA 11, INC
Practice address
3783 SW 97TH Ave
Miami, FL 33165-4058
Phone
(305) 554-4385
Fax
(305) 552-9668
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Nora Gonzalez de la Parte
Title
President/Owner
Phone
(305) 554-4385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10304 FL Primary

Addresses

Primary practice location

3783 SW 97TH Ave
Miami, FL 33165-4058

Mailing address

3783 SW 97TH Ave
Miami, FL 33165-4058
Phone (305) 554-4385

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1275864860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654058",
            "telephone_number": "305-554-4385",
            "fax_number": "305-552-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654058",
            "telephone_number": "305-554-4385",
            "fax_number": "305-552-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA 11, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ DE LA PARTE",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-554-4385"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.