Organization
ALIVE MIAMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO LUGO BARUQUI MD (CEO)
(786) 315-7354
Entity
Organization
Contact information
Practice address
901 S MIAMI AVE STE 211, MIAMI, FL 33130-3043
(305) 897-7121
Mailing address
121 NE 34TH ST UNIT 3002, MIAMI, FL 33137-3889
(786) 315-7354
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
06/30/2025
Last updated
07/02/2025
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