Healthcare Provider Details

I. General information

NPI: 1275458671
Provider Name (Legal Business Name): LUMA MEDICAL AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15621 80TH LN N
LOXAHATCHEE FL
33470-3134
US

IV. Provider business mailing address

15621 80TH LN N
LOXAHATCHEE FL
33470-3134
US

V. Phone/Fax

Practice location:
  • Phone: 786-618-0292
  • Fax:
Mailing address:
  • Phone: 786-618-0292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA CARLA LEMA RIGUAL
Title or Position: OWNER
Credential: APRN
Phone: 786-618-0292