Active NPI
Luque Medical Center, Corp
- Case Management Agency
- Miami, FL
National Provider Identifier
1700533643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LUQUE MEDICAL CENTER, CORP
- Practice address
- 13205 SW 137TH Ave Ste 128
Miami, FL 33186-5334 - Phone
- (786) 362-2818
- NPI assigned
- Mar 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga Gutierrez
- Title
- Ceo
- Phone
- (786) 362-2818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
13205 SW 137TH Ave Ste 128
Miami, FL 33186-5334
Mailing address
13205 SW 137TH Ave Ste 128
Miami, FL 33186-5334
Phone (786) 362-2818
National Provider Directory
National Provider Directory- Tax ID family
- Luque Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1205415197
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Miami, FL
- NPI 1437648169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646784000000",
"number": "1700533643",
"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": "786-362-2818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUQUE MEDICAL CENTER, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-362-2818"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"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 Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.