Organization
LUMARHEALTHCARESERVICES.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOURDES NIEVES (OWNER)
(305) 491-3203
Entity
Organization
Contact information
Practice address
4595 SW 139TH CT APT A, MIAMI, FL 33175-4454
(305) 491-3203
Mailing address
10625 HAMMOCKS BLVD APT 528, MIAMI, FL 33196-2642
(305) 491-3203
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
232190
FL
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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