# LUZ MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1750849568
- **Authorized official:** AIMEE LEYVA LOPEZ APRN (SOLE MEMBER)
- **Authorized official phone:** (786) 376-5554

## Contact information

- **Practice address:** 13032 SW 133RD CT, MIAMI, FL 33186-5855
- **Practice address phone:** (786) 345-7589
- **Practice address fax:** (786) 396-1466
- **Mailing address:** 8148 SW 163RD CT, MIAMI, FL 33193-5120
- **Mailing address phone:** (786) 376-5554
- **Mailing address fax:** (786) 396-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2019
- **Last updated:** 01/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | APRN11000115 | LICENSE | FL |