Organization Active NPI

Lumini Medical Spa Corp

  • Medical Specialty Clinic/Center
  • Aventura, FL
National Provider Identifier
1770436693
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
LUMINI MEDICAL SPA CORP
Practice address
19565 Biscayne Blvd Ste 1954
Aventura, FL 33180-2392
Phone
(305) 974-2434
NPI assigned
Feb 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Antonio Divino Dutra Filho
Title
Owner / Agent
Phone
(305) 798-1902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

19565 Biscayne Blvd Ste 1954
Aventura, FL 33180-2392

Mailing address

587 E Sample Rd Ste 314
Deerfield Beach, FL 33064-4425
Phone (305) 974-2434

National Provider Directory

National Provider Directory

Locations

587 E Sample Rd
Ste 314
Deerfield Beach, FL 33064

NPI Registry JSON

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1770436693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 E SAMPLE RD STE 314",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330644425",
            "telephone_number": "305-974-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19565 BISCAYNE BLVD STE 1954",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802392",
            "telephone_number": "305-974-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINI MEDICAL SPA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "DUTRA FILHO",
        "authorized_official_first_name": "ANTONIO DIVINO",
        "authorized_official_title_or_position": "OWNER / AGENT",
        "authorized_official_telephone_number": "305-798-1902"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.