Healthcare Provider Details

I. General information

NPI: 1831074244
Provider Name (Legal Business Name): LIU EXPRESS SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 NW 57TH AVE STE 204
MIAMI FL
33126-4859
US

IV. Provider business mailing address

516 NW 57TH AVE STE 204
MIAMI FL
33126-4859
US

V. Phone/Fax

Practice location:
  • Phone: 305-316-5059
  • Fax:
Mailing address:
  • Phone: 305-316-5059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LIUSMAN LABRADA ALARCON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 305-316-5059