Organization Active NPI

Luz Medical Group Inc

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1497188239
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LUZ MEDICAL GROUP INC
Practice address
4100 NW 6TH St
Miami, FL 33126-5616
Phone
(305) 367-6769
Fax
(305) 367-6768
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Orel Valdespino
Title
Owner
Phone
(305) 367-6769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FL Primary

Addresses

Primary practice location

4100 NW 6TH St
Miami, FL 33126-5616

Mailing address

4100 NW 6TH St
Miami, FL 33126-5616
Phone (305) 367-6769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1497188239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NW 6TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265616",
            "telephone_number": "305-367-6769",
            "fax_number": "305-367-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NW 6TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265616",
            "telephone_number": "305-367-6769",
            "fax_number": "305-367-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "VALDESPINO",
        "authorized_official_first_name": "OREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-367-6769"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": null,
            "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 Aug 15, 2013; 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.