# LEGACY 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:** 1700465226
- **Authorized official:** ALFREDO CUBA (CEO)
- **Authorized official phone:** (786) 263-3100

## Contact information

- **Practice address:** 6741 SW 24TH ST STE 46, MIAMI, FL 33155-1767
- **Practice address phone:** (786) 427-7059
- **Mailing address:** 6741 SW 24TH ST STE 46, MIAMI, FL 33155-1767
- **Mailing address phone:** (786) 427-7059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |

## Other

- **Enumeration date:** 04/02/2021
- **Last updated:** 05/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101681100 | — | FL |