Healthcare Provider Details

I. General information

NPI: 1235044652
Provider Name (Legal Business Name): LCY FAMILY CARE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 N KENDALL DR
MIAMI FL
33176-1773
US

IV. Provider business mailing address

9900 N KENDALL DR K 206
MIAMI FL
33176-1773
US

V. Phone/Fax

Practice location:
  • Phone: 786-874-6176
  • Fax:
Mailing address:
  • Phone: 786-874-6176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. LUIS CARLOS CARLOS PENA ALCOLEA SR.
Title or Position: MGR
Credential:
Phone: 786-874-6176