Active NPI
Liznel Lugo Hernandez, D.C.
- Chiropractor
- Winter Park, FL
National Provider Identifier
1265256853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15230
- Practice address
- 1555 Howell Branch Rd Ste B2
Winter Park, FL 32789-1170 - Phone
- (407) 622-9090
- NPI assigned
- Nov 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15230 | FL | Primary |
Addresses
Primary practice location
1555 Howell Branch Rd Ste B2
Winter Park, FL 32789-1170
Mailing address
1394 Dunlawton Ave Apt 506
Port Orange, FL 32127-4761
Phone (863) 777-1963
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15230 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1265256853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1394 DUNLAWTON AVE APT 506",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274761",
"telephone_number": "863-777-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 HOWELL BRANCH RD STE B2",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891170",
"telephone_number": "407-622-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO HERNANDEZ",
"first_name": "LIZNEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.