Individual provider Active NPI

Lazaro Luis Gafas, APRN, FNP-C,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1053854315
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9325283 Issued in FL
Practice address
7950 NW 53Rd St Ste 337
Miami, FL 33166-4791
Phone
(786) 529-6651
Fax
(612) 500-4880
NPI assigned
Nov 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9325283 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9325283 FL Primary

Addresses

Primary practice location

7950 NW 53Rd St Ste 337
Miami, FL 33166-4791

Mailing address

7950 NW 53Rd St Ste 337
Miami, FL 33166-4791
Phone (786) 529-6651

Other identifiers 1

IdentifierTypeStateIssuer
117193800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824003564 FL Practitioner - Nurse Practitioner 9739451766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9325283FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 26, 2024 Accepting new patients
Post Acute Care Leaders-Florida LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1053854315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 337",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664791",
            "telephone_number": "786-529-6651",
            "fax_number": "612-500-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 337",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664791",
            "telephone_number": "786-529-6651",
            "fax_number": "612-500-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFAS",
        "first_name": "LAZARO",
        "middle_name": "LUIS",
        "credential": "APRN, FNP-C,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-18",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9325283",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9325283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117193800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.