Individual provider Active NPI

Lucille M Frial-Carrasco, DO

  • Family Medicine Physician
  • Margate, FL
National Provider Identifier
1083610182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7686 Issued in FL
Practice address
7664 Margate Blvd
Margate, FL 33063-3352
Phone
(954) 972-8800
Fax
(954) 977-6400
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7686 FL Primary

Addresses

Primary practice location

7664 Margate Blvd
Margate, FL 33063-3352

Mailing address

7664 Margate Blvd
Margate, FL 33063-3352
Phone (954) 972-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7686FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margate Medical Center Inc Past Accepting new patients
Complete Local Specialty Care, Inc Family Medicine Past Accepting new patients
South Florida Medical Centers, Inc Family Medicine Past Accepting new patients
South Florida Medical Centers, Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEGBA

Organizations & group practices 4

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083610182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 MARGATE BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633352",
            "telephone_number": "954-972-8800",
            "fax_number": "954-977-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 MARGATE BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633352",
            "telephone_number": "954-972-8800",
            "fax_number": "954-977-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIAL-CARRASCO",
        "first_name": "LUCILLE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.