MEDICARE: NARA LUXE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1174468797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NARA LUXE LLC

Provider Business Mailing Address
First Line	:	10700 CITY CENTER BLVD APT 3303
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4080
Country	:	US
Telephone Number	:	786-486-2815
Fax Number	:	786-486-2815

Provider Business Practice Location Address
First Line	:	10700 CITY CENTER BLVD APT 3303
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4080
Country	:	US
Telephone Number	:	786-486-2815
Fax Number	:	786-486-2815

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	GRETTEL SANTOS FERNANDEZ
Credential	:	HOME
Telephone Number	:	786-486-2815

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

Similar Medicare Providers

1477498095 — GRETTEL SANTOS FERNANDEZ RN
Practice Location Address:

10700 CITY CENTER BLVD APT 3303
PEMBROKE PINES, FL
33025-4080

Practice Phone: 786-486-2815
Practice Fax: 786-486-2815

1528350667 — SHAWN LEE WEBSTER CNP
Practice Location Address:

16412 TALL PINES LN
MERRIFIELD, MN
56465-4080

Practice Phone: 218-296-0383
Practice Fax:

1215642772 — BRIAN CESPEDES HIS
Practice Location Address:

12193 PEMBROKE RD
PEMBROKE PINES, FL
33025-1727

Practice Phone: 954-435-8820
Practice Fax: 954-450-8185

1801180450 — DR. JOSE DAVID MORGAN M.D.
Practice Location Address:

1500 S HIATUS RD
PEMBROKE PINES, FL
33025-3617

Practice Phone: 954-438-4000
Practice Fax:

1497528145 — YUSNELY GONZALEZ DE ARMAS
Practice Location Address:

3225 SW 122ND AVE APT 409
PEMBROKE PINES, FL
33025-5872

Practice Phone: 786-226-6372
Practice Fax:

1114920584 — SOUTH BROWARD HOSPITAL DISTRICT
Practice Location Address:

777 S DOUGLAS RD
PEMBROKE PINES, FL
33025-1353

Practice Phone: 954-431-1100
Practice Fax: 954-443-4798

Directions to “NARA LUXE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.