Miriam Mercedes Lara

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME47182 Issued in FL

Practice address

2100 W 68TH St
Hialeah, FL 33016-1804

Phone

(305) 362-3969

Fax

(305) 362-7909

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12801/brand/1/csg/1/fhir/r4
• Direct secure messaging: miriam.lara.1@12801.direct.athenahealth.com

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.

• Miriam M. Lara M.D. PA

  • Preferred Provider Organization
  • Hialeah, FL
  • NPI 1124440227

  FL

  Medicare reassignment NPD Authorized official
• All M D Medical Center L L C

  • Clinic/Center
  • Hialeah, FL
  • NPI 1528082617
  NPD (past) Authorized official
• Elite Health & Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Hialeah, FL
  • NPI 1952451635
  NPD (past)
• Palmetto Physical Therapy

  • Physical Therapist
  • Hialeah, FL
  • NPI 1548249253
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1124124854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161804",
            "telephone_number": "305-362-3969",
            "fax_number": "305-362-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161804",
            "telephone_number": "305-362-3969",
            "fax_number": "305-362-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "MIRIAM",
        "middle_name": "MERCEDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME47182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6189715",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035062100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Laor, DDS
• Melissa Amanda Lara Dominguez
• Rosaliana Lara Maldonado
• Dainerys Dolores Lara Mendice
• Maybileybis Lara Milian
• Yaima Lara
• Larga Vida Medical Service LLC
• Larkin Community Hospital Palm Springs Campus LLC
• Larkin Community Hospital Palm Springs Campus LLC
• Larkin Community Hospital Palm Springs Campus, LLC

• All providers in Hialeah, FL
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.