Provider Demographics
NPI:1467758185
Name:L.M. UROLOGY CENTER INC
Entity Type:Organization
Organization Name:L.M. UROLOGY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-213-9568
Mailing Address - Street 1:1005 NW 128TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-1850
Mailing Address - Country:US
Mailing Address - Phone:305-213-9568
Mailing Address - Fax:
Practice Address - Street 1:1005 NW 128TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-1850
Practice Address - Country:US
Practice Address - Phone:305-213-9568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9194148163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WU0100XNursing Service ProvidersRegistered NurseUrologyGroup - Single Specialty