# ALLU MIAMI MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255153342
- **Authorized official:** ALEJANDRO MARQUEZ PAYNE (CEO)
- **Authorized official phone:** (786) 315-6818

## Contact information

- **Practice address:** 15668 SW 72ND ST, MIAMI, FL 33193-1923
- **Practice address phone:** (786) 697-1150
- **Practice address fax:** (786) 541-1526
- **Mailing address:** 15668 SW 72ND ST, MIAMI, FL 33193-1923
- **Mailing address phone:** (786) 697-1150
- **Mailing address fax:** (786) 541-1526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 10/29/2024