Provider Demographics
NPI:1689453706
Name:LUXEN CARE INC
Entity Type:Organization
Organization Name:LUXEN CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIELS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-793-6029
Mailing Address - Street 1:7791 NW 46TH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5476
Mailing Address - Country:US
Mailing Address - Phone:305-793-6029
Mailing Address - Fax:
Practice Address - Street 1:7791 NW 46TH ST STE 112
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5476
Practice Address - Country:US
Practice Address - Phone:305-793-6029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation