Individual
MR. JORGE LUIS LUACES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6222 SW 8TH ST, WEST MIAMI, FL 33144-4810
(305) 221-5115
(305) 221-5282
Mailing address
6222 SW 8TH ST, WEST MIAMI, FL 33144-4810
(305) 221-5115
(305) 221-5282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME92704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28816
BCBS
—
Enumeration date
06/22/2006
Last updated
11/21/2014
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