Individual provider Active NPI

Maria Eugenia Lascurain

  • Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1184012171
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAT9108454 Issued in FL
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

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426002092 FL Practitioner - Physician Assistant 2668771619 Reassigns benefits to 1 organization

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
Mount Sinai Medical Center Cardiology LLCGroup PAC ID 6800953118, 41 clinicians

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

LicenseStateTypeSpecialty
PAT9108454FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.