Healthcare Provider Details

I. General information

NPI: 1023937687
Provider Name (Legal Business Name): LUCERO CHILDRENS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 NW 7TH AVE UNIT 1201
MIAMI FL
33136-2380
US

IV. Provider business mailing address

1128 NW 7TH AVE UNIT 1201
MIAMI FL
33136-2380
US

V. Phone/Fax

Practice location:
  • Phone: 786-461-0197
  • Fax: 786-461-0197
Mailing address:
  • Phone: 786-461-0197
  • Fax: 786-461-0197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO GUACH SOLER
Title or Position: MANAGING MEMBER
Credential:
Phone: 786-461-0197