Lux Medical Health Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LUX MEDICAL HEALTH CENTER INC

Practice address

1200 S Federal Hwy
Hollywood, FL 33020-6030

Phone

(786) 715-1059

Fax

(954) 443-8496

NPI assigned

Dec 3, 2016

Last updated

Aug 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis Manuel Gonzalez, MDNPI 1942555107

Title

President

Phone

(786) 715-1059

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21851/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis M Gonzalez Sr., MD

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1942555107
  Medicare reassignment Care Compare group Authorized official
• Ana G. Tascheret, M.D.

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1689946758
  Medicare reassignment Care Compare group
• Jefferson Van Didier Ganthier, MD

  • Internal Medicine Physician
  • Aventura, FL
  • NPI 1245793983
  Medicare reassignment
• Gisselle Gonzalez, DPT

  • Physical Therapist
  • Hollywood, FL
  • NPI 1992229066
  NPD (past)

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1467995894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206030",
            "telephone_number": "786-715-1059",
            "fax_number": "954-443-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206030",
            "telephone_number": "786-715-1059",
            "fax_number": "954-443-8496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 NE 163rd St Ste 3B",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331603760",
            "country_code": "US",
            "telephone_number": "305-306-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUX MEDICAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-715-1059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023990400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Lumbart
• Emily C Lundy, LMT
• Tammy Lundy, C.A.M.F., C.E.I.F.
• Alexandra S Lupo, FNP-BC
• Carla Alexandra Luque, PHARM.D., M.S., C.PH
• Luxottica of America Inc (For Eyes (Cm208))
• Luxottica Retail North America Inc (Pearle Vision #C6305)
• Arthur Lyakhovetsky, MD
• Lydia V. Wallace, D.O., P.a.
• Lymphatic Solutions & Therapy, LLC

• Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.