Organization Active NPI

Lourdes Nunez MD PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1164625067
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME60074 Issued in FL
Legal business name
LOURDES NUNEZ MD PA
Practice address
12002 SW 128TH CT
Suite 210
Miami, FL 33186-4639
Phone
(305) 234-8321
Fax
(305) 234-8358
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mrs. Karem Toribio
Title
Office Manager
Phone
(305) 234-8321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME60074 FL Primary

Addresses

Primary practice location

12002 SW 128TH CT
Suite 210
Miami, FL 33186-4639

Mailing address

12002 SW 128TH CT
Suite 210
Miami, FL 33186-4639
Phone (305) 234-8321

Other identifiers 1

IdentifierTypeStateIssuer
055445600MedicaidFL

National Provider Directory

National Provider Directory

Locations

20601 Old Cutler Rd
#101
Cutler Bay, FL 33189

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1164625067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864639",
            "telephone_number": "305-234-8321",
            "fax_number": "305-234-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864639",
            "telephone_number": "305-234-8321",
            "fax_number": "305-234-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES NUNEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "TORIBIO",
        "authorized_official_first_name": "KAREM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-234-8321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME60074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055445600",
            "state": "FL"
        }
    ],
    "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 Sep 21, 2011; 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.