Active NPI
Hailys Lezcano Vento
- Family Nurse Practitioner
- Hallandale Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11008529
- Practice address
- 1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4617 - Phone
- (305) 266-2929
- Fax
- (305) 504-8868
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11008529 | GA | |
| Family Nurse Practitioner | 363LF0000X | 11008529 | FL | Primary |
Addresses
Primary practice location
1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4617
Mailing address
9200 Bay Harbor Ter Apt 3a
Bay Harbor Islands, FL 33154-2733
Phone (305) 790-3082
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11008529 | FL | MD | Family Nurse Practitioner |
| 11008529 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor Lopez de Mendoza, MD PLLC | Current | Accepting new patients | |
| Medcare Centers, LLC | Current | Accepting new patients | |
| Medcare Centers, LLC | Current | Accepting new patients | |
| Centrum Medical Holdings, LLC | Current | Accepting new patients | |
| Med Care Centers LLC | Current | Accepting new patients | |
| Centrum Medical Centers Kendall, LLC | Current | Accepting new patients | |
| Centrum Medical Holdings, LLC | Current | Accepting new patients |
Locations
9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805
1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-2385
3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057
7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270
5730 SW 74th St
Ste 200
South Miami, FL 33143
7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585
Organizations & group practices 7
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.
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- Internal Medicine Physician
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- NPI 1912625153
-
- Internal Medicine Physician
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- NPI 1538715024
-
- Clinic/Center
- Miami, FL
- NPI 1114485638
-
- Internal Medicine Physician
- Miami Gardens, FL
- NPI 1013559590
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1578105052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1265037691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 BAY HARBOR TER APT 3A",
"city": "BAY HARBOR ISLANDS",
"state": "FL",
"postal_code": "331542733",
"telephone_number": "305-790-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 E HALLANDALE BEACH BLVD",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094617",
"telephone_number": "305-266-2929",
"fax_number": "305-504-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEZCANO VENTO",
"first_name": "HAILYS",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "11008529",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11008529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.