Organization Active NPI

Fidelity Health Services PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1194058784
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 96575 Issued in FL
Legal business name
FIDELITY HEALTH SERVICES PA
Practice address
9703 S Dixie Hwy
Ste # 17
Miami, FL 33156-8114
Phone
(305) 281-2813
Fax
(305) 238-5171
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Dr. Alexis Lugo, M.D.
Title
Owner/President
Phone
(305) 281-2813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME 96575 FL Primary

Addresses

Primary practice location

9703 S Dixie Hwy
Ste # 17
Miami, FL 33156-8114

Mailing address

9703 S Dixie Hwy
Ste # 17
Miami, FL 33156-8114
Phone (305) 281-2813

National Provider Directory

National Provider Directory

Locations

9703 S Dixie Hwy
Ste 17
Miami, FL 33156
Phone (305) 281-2813

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1194058784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9703 S DIXIE HWY",
            "address_2": "STE # 17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331568114",
            "telephone_number": "305-281-2813",
            "fax_number": "305-238-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9703 S DIXIE HWY",
            "address_2": "STE # 17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331568114",
            "telephone_number": "305-281-2813",
            "fax_number": "305-238-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTH SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-281-2813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 96575",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 2009; 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.