Organization
LUZ MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE LEYVA LOPEZ APRN (SOLE MEMBER)
(786) 376-5554
Entity
Organization
Contact information
Practice address
13032 SW 133RD CT, MIAMI, FL 33186-5855
(786) 345-7589
(786) 396-1466
Mailing address
8148 SW 163RD CT, MIAMI, FL 33193-5120
(786) 376-5554
(786) 396-1466
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11000115
LICENSE
FL
Enumeration date
03/11/2019
Last updated
01/22/2025
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