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
1100 W 29TH ST STE F, HIALEAH, FL 33012-5014
(305) 992-0288
Mailing address
1100 W 29TH ST STE F, HIALEAH, FL 33012-5014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
07/23/2026
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