Organization
LUQUE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA M GUTIERREZ (CEO)
(786) 362-2818
Entity
Organization
Contact information
Practice address
13205 SW 137TH AVE STE 128, MIAMI, FL 33186-5334
(786) 362-2881
Mailing address
13205 SW 137TH AVE STE 128, MIAMI, FL 33186-5334
(786) 362-2818
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110186800
—
FL
Enumeration date
04/07/2021
Last updated
04/17/2023
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