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General NPI Number Information
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NPI Number | 1912896549
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Entity Type | Organization
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Legal Business Name | ALIVE MIAMI LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 901 S MIAMI AVE STE 211
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City | MIAMI
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State | FL
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Zip | 33130-3043
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Country | US
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Telephone | 305-897-7121
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Fax |
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Provider Business Mailing Address
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Address Line | 121 NE 34TH ST UNIT 3002
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City | MIAMI
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State | FL
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Zip | 33137-3889
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Country | US
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Telephone | 786-315-7354
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DIEGO LUGO BARUQUI
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Credential | MD
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Telephone | 786-315-7354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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