Lourdes M Cano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15630 Issued in FL

Practice address

680 N University Dr
Pembroke Pines, FL 33024-6738

Phone

(954) 982-7645

Fax

(954) 538-6850

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Cano Health, LLC

  • Multi-Specialty Clinic/Center
  • Pembroke Pines, FL
  • NPI 1689901688
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1093867947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N UNIVERSITY DRIVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "984-538-6868",
            "fax_number": "954-538-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246738",
            "telephone_number": "954-982-7645",
            "fax_number": "954-538-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347413214",
            "country_code": "US",
            "telephone_number": "407-606-8012",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Glen Royal Pkwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331255287",
            "country_code": "US",
            "telephone_number": "305-847-9915",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 S Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116063",
            "country_code": "US",
            "telephone_number": "813-527-0245",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANO",
        "first_name": "LOURDES",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075361100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gayl Canfield, PHD, RDN, LDN
• Cano Health, LLC
• Cano Health, LLC
• Cano Health, LLC
• Cano Health, LLC
• Samuel Neal Cantor, D.P.M.
• Kristin Capano
• Capital Vision Care Inc.
• Loreley Caplan
• Daniel A Caraballo, DO

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.