Active NPI
Maria Eugenia Lascurain
- Physician Assistant
- Coral Gables, FL
National Provider Identifier
1184012171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAT9108454
- Practice address
- 836 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33134-3068 - Phone
- (305) 441-0910
- NPI assigned
- Dec 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAT9108454 | FL | Primary |
Addresses
Primary practice location
836 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33134-3068
Mailing address
836 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33134-3068
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-2690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAT9108454 | FL | MD | Physician Assistant |
Interoperability endpoints
- mlascurain86724@direct.msmc.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Miami Beach, FL
- NPI 1134366727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1184012171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 PONCE DE LEON BLVD STE 200",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331343068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PONCE DE LEON BLVD STE 200",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331343068",
"telephone_number": "305-441-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASCURAIN",
"first_name": "MARIA",
"middle_name": "EUGENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PAT9108454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.