Active NPI
Jose Antonio Luna Alvarez Amezquita, M.D.
- Student in an Organized Health Care Education/Training Program
- Miami, FL
National Provider Identifier
1568107282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1611 N.W. 12TH Avenue
Miami, FL 33136 - Phone
- (305) 585-5212
- Fax
- (305) 585-8137
- NPI assigned
- Apr 28, 2022
- Reactivated
- Jan 27, 2025
- Last updated
- Feb 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1611 N.W. 12TH Avenue
Miami, FL 33136
Mailing address
Rio Lerma 137
Apartment 3, Colonia Cuauhtemoc, Alcaldia Cuauhtemoc
Mexico City, MEXICO 06500
MX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1568107282",
"addresses": [
{
"country_code": "MX",
"country_name": "Mexico",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "RIO LERMA 137",
"address_2": "APARTMENT 3, COLONIA CUAUHTEMOC, ALCALDIA CUAUHTEMOC",
"city": "MEXICO CITY",
"state": "MEXICO",
"postal_code": "06500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 N.W. 12TH AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33136",
"telephone_number": "305-585-5212",
"fax_number": "305-585-8137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA ALVAREZ AMEZQUITA",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-28",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"deactivation_date": "2023-02-08",
"reactivation_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"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 Feb 25, 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.