Individual provider Active NPI

Lucinda I Cuervo, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1255383477
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME44658 Issued in FL
Practice address
2921 SW 8TH St
Miami, FL 33135-2826
Phone
(305) 532-9945
Fax
(305) 532-9938
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME44658 FL Primary

Addresses

Primary practice location

2921 SW 8TH St
Miami, FL 33135-2826

Mailing address

2921 SW 8TH St
Miami, FL 33135-2826
Phone (305) 532-9945

Other practice location 1

10201 Hammocks Blvd Ste 123
Miami, FL 33196-3783
Phone (305) 279-7020

Other identifiers 2

IdentifierTypeStateIssuer
96609OtherFLBCBS
069680300MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME44658FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erik Van Ginkel MD PA PastSince Jan 1, 2013 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1255383477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352826",
            "telephone_number": "305-532-9945",
            "fax_number": "305-532-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352826",
            "telephone_number": "305-532-9945",
            "fax_number": "305-532-9938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 Hammocks Blvd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331963783",
            "country_code": "US",
            "telephone_number": "305-279-7020",
            "fax_number": "305-598-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUERVO",
        "first_name": "LUCINDA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME44658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96609",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069680300",
            "state": "FL"
        }
    ],
    "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 Oct 14, 2019; 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.