Individual provider Active NPI

Lucky Flores, M.D.

  • Adult Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1225007669
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME75421 Issued in FL
Practice address
8040 NW 155TH St
Miami Lakes, FL 33016-5880
Phone
(305) 827-0208
Fax
(305) 827-0280
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME75421 FL Primary

Addresses

Primary practice location

8040 NW 155TH St
Miami Lakes, FL 33016-5880

Mailing address

8040 NW 155TH St
Miami Lakes, FL 33016-5880
Phone (305) 827-0208

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929001065 FL Practitioner - Family PracticePractitioner - Interventional Pain Management 8628015062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Therapy and Medical Care Center IncGroup PAC ID 1557598182, 7 clinicians

Practice addresses (Care Compare)

1140 W 50TH St
Suite 301
Hialeah, FL 33012-3411
Phone (305) 827-0208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Therapy & Medical Care Center Inc CurrentSince Sep 28, 2013 Accepting new patients
Davie Medi Center Past Accepting new patients
Peraza Medical Center, Inc. Past Accepting new patients
Genesis Ambulatory Medical Care Inc. Past Accepting new patients
Elite Health & Rehabilitation Center Past Accepting new patients
Dynamic Medical Services Inc PastSince Jan 2, 2004 Accepting new patients

Locations

1140 W 50th St
Ste 301
Hialeah, FL 33012
Phone (305) 558-2930

8040 NW 155th St
Miami Lakes, FL 33016
Phone (305) 827-0208

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225007669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165880",
            "telephone_number": "305-827-0208",
            "fax_number": "305-827-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165880",
            "telephone_number": "305-827-0208",
            "fax_number": "305-827-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "LUCKY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME75421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.