# ALTIUS MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1770204141
- **Authorized official:** MR. ALIAN HERNANDEZ LOPEZ MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 988-5000

## Contact information

- **Practice address:** 14221 SW 120TH ST STE 129, MIAMI, FL 33186-7463
- **Practice address phone:** (786) 292-9650
- **Practice address fax:** (786) 420-3240
- **Mailing address:** 14221 SW 120TH ST STE 129, MIAMI, FL 33186-7463
- **Mailing address phone:** (786) 292-9650
- **Mailing address fax:** (786) 420-3240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2022
- **Last updated:** 08/29/2024