Individual provider Active NPI

Ma Liza Trabajo Latras

  • Registered Nurse
  • Land O Lakes, FL
National Provider Identifier
1255097903
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9252513 Issued in FL
Practice address
19146 Alexandrea Lee CT
Land O Lakes, FL 34638-7562
Phone
(813) 943-7120
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9252513 FL Primary

Addresses

Primary practice location

19146 Alexandrea Lee CT
Land O Lakes, FL 34638-7562

Mailing address

19146 Alexandrea Lee CT
Land O Lakes, FL 34638-7562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9252513FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1255097903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19146 ALEXANDREA LEE CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19146 ALEXANDREA LEE CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387562",
            "telephone_number": "813-943-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATRAS",
        "first_name": "MA LIZA",
        "middle_name": "TRABAJO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9252513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.