Organization Active NPI

Lourdes Bosch MD PA

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1013162213
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0043744 Issued in FL
Legal business name
LOURDES BOSCH MD PA
Practice address
351 NW Lejeune Rd Suite 406
Miami, FL 33126-5689
Phone
(305) 642-2600
Fax
(305) 642-8887
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Lourdes Bosch, MDNPI 1053394247
Title
President
Phone
(305) 642-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME0043744 FL Primary

Addresses

Primary practice location

351 NW Lejeune Rd Suite 406
Miami, FL 33126-5689

Mailing address

351 NW Lejeune Rd Suite 406
Miami, FL 33126-5689
Phone (305) 642-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090603000556 FL Part B Supplier - Clinic/Group Practice 0244380749 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

351 NW Le Jeune Rd
Ste 406
Miami, FL 33126
Phone (305) 642-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1013162213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NW LEJEUNE RD SUITE 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265689",
            "telephone_number": "305-642-2600",
            "fax_number": "305-642-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW LEJEUNE RD SUITE 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265689",
            "telephone_number": "305-642-2600",
            "fax_number": "305-642-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES BOSCH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0043744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.