Organization
LUZ Y VIDA MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIO VACA EGAS (OWNER)
(305) 992-0288
Entity
Organization
Contact information
Practice address
395 W 52ND ST, HIALEAH, FL 33012-3750
(305) 992-0288
Mailing address
395 W 52ND ST, HIALEAH, FL 33012-3750
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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