Lourdes Carolina Ceron-Canas, MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME90074 Issued in FL

Practice address

1539 Parental Home Rd
Jacksonville, FL 32216

Phone

(904) 338-0434

Fax

(904) 425-0821

NPI assigned

Jul 3, 2006

Last updated

May 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9429/brand/1/csg/1/fhir/r4
• Direct secure messaging: lourdes.carolin.ceron-canas.2@9429.direct.athenahealth.com

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.

• Ceron Pediatrics and Integrative Medicine

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1477043180
  NPD (past) Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1225068513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13758 CLUB COVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255430",
            "telephone_number": "904-891-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 PARENTAL HOME RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-338-0434",
            "fax_number": "904-425-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERON-CANAS",
        "first_name": "LOURDES",
        "middle_name": "CAROLINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME90074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269926500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Espinosa Cerga, NNP-BC
• John Louis Cerillo, DO
• Renato Cerna Viacava, MD
• Joseph Cernigliaro, MD
• Ceron Pediatrics and Integrative Medicine
• Jose D Ceron-Fuentes, M.D.
• Erin Cerrato, LMHC
• Gregory J Cerrato, D.C.
• Maria De Los Angeles Cervantes
• Darleen Cervasio, LCSW

• Legal Medicine in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.