Organization
UNIVIDA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS CASTRO (MANAGING PARTNER)
(305) 204-0333
Entity
Organization
Contact information
Practice address
15225 NW 77TH AVE, MIAMI LAKES, FL 33014-7804
(305) 587-2747
(305) 587-2748
Mailing address
4353 NW 77TH AVE FL 3, MIAMI, FL 33166-6736
(305) 204-0333
(305) 359-7546
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/04/2025
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