Active NPI
Lazaro Bouza MD PA
- Gastroenterology Physician
- Miami, FL
National Provider Identifier
1023323086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0042893
- Legal business name
- LAZARO BOUZA MD PA
- Practice address
- 3611 SW 107TH Ave
Miami, FL 33165-3636 - Phone
- (305) 226-4634
- Fax
- (305) 226-5154
- NPI assigned
- Aug 16, 2010
- Last updated
- Aug 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lazaro Bouza, M.D.
- Title
- Medical Doctor/President
- Phone
- (305) 226-4634
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0042893 | FL | Primary |
Addresses
Primary practice location
3611 SW 107TH Ave
Miami, FL 33165-3636
Mailing address
3611 SW 107TH Ave
Miami, FL 33165-3636
Phone (305) 226-4634
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1326084203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281916800000",
"number": "1023323086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 SW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653636",
"telephone_number": "305-226-4634",
"fax_number": "305-226-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 SW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653636",
"telephone_number": "305-226-4634",
"fax_number": "305-226-5154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAZARO BOUZA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-16",
"last_updated": "2010-08-16",
"status": "A",
"authorized_official_last_name": "BOUZA",
"authorized_official_first_name": "LAZARO",
"authorized_official_title_or_position": "MEDICAL DOCTOR/PRESIDENT",
"authorized_official_telephone_number": "305-226-4634",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0042893",
"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 Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.