Provider Demographics
NPI:1518109362
Name:LEY, LUIS F (LIC, AC)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:F
Last Name:LEY
Suffix:
Gender:M
Credentials:LIC, AC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10000 SW 56 ST
Mailing Address - Street 2:SUITE #6
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165
Mailing Address - Country:US
Mailing Address - Phone:305-275-1348
Mailing Address - Fax:305-275-1350
Practice Address - Street 1:10000 SW 56 ST
Practice Address - Street 2:SUITE #6
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165
Practice Address - Country:US
Practice Address - Phone:305-275-1348
Practice Address - Fax:305-275-1350
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1335171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist