# MOLINA'S 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:** 1407678154
- **Authorized official:** LUIS MARIO MOLINA APRN (OWNER)
- **Authorized official phone:** (786) 294-2772

## Contact information

- **Practice address:** 5600 SW 135TH AVE STE 205, MIAMI, FL 33183-5101
- **Practice address phone:** (305) 603-9261
- **Practice address fax:** (305) 603-9283
- **Mailing address:** 5600 SW 135TH AVE STE 205, MIAMI, FL 33183-5101
- **Mailing address phone:** (305) 603-9261
- **Mailing address fax:** (305) 603-9283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2024
- **Last updated:** 08/26/2025