LPS Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME107498 Issued in FL

Legal business name

LPS MEDICAL GROUP LLC

Practice address

1310 N Main St Ste 105
Kissimmee, FL 34744-4244

Phone

(407) 483-7975

Fax

(888) 772-5242

NPI assigned

Dec 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cruz Adelmis Santos, MD

Title

Physician

Phone

(407) 476-4011

Specialties & licenses 1

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1003151903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 105",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444244",
            "telephone_number": "407-483-7975",
            "fax_number": "888-772-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 105",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444244",
            "telephone_number": "407-483-7975",
            "fax_number": "888-772-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "CRUZ",
        "authorized_official_middle_name": "ADELMIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-476-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007-666-400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004173700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FP292Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "HI271A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia W Lowery
• Amanda Noemi Lozada Rivera, RBT
• Kennia Lozada
• Carlos Lozano-Carranza
• Ashley Lozano
• Morgan Lucas
• Tatiana Luccani, DPT
• Justine Ashley Lucena, CCC-SLP
• Bryanna Samantha Luciano
• Jessica Luciano

• Internal Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.