Organization Active NPI

Lazaro H Cordoves MD PA

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1013225952
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME84853 Issued in FL
Legal business name
LAZARO H CORDOVES MD PA
Practice address
5951 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5112
Phone
(305) 557-1030
Fax
(305) 557-9757
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Lazaro H Cordoves, MDNPI 1821126079
Title
Owner
Phone
(305) 557-1030

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME84853 FL Primary

Addresses

Primary practice location

5951 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5112

Mailing address

5951 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5112
Phone (305) 557-1030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000402 FL Part B Supplier - Clinic/Group Practice 0446446405 Receives reassigned benefits from 1 practitioner
Practice locations: Dania Beach, FL; Miami, FL; Lake Worth, FL; Hialeah, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

1671 W 37th St
Hialeah, FL 33012
Phone (305) 728-4880

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1013225952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 NW 173RD DR",
            "address_2": "SUITE 7",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155112",
            "telephone_number": "305-557-1030",
            "fax_number": "305-557-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 NW 173RD DR",
            "address_2": "SUITE 7",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155112",
            "telephone_number": "305-557-1030",
            "fax_number": "305-557-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARO H CORDOVES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "CORDOVES",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-557-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME84853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.