Organization Active NPI

Lazarillo Health Care, Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1275789646
Registry record updated Aug 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAZARILLO HEALTH CARE, INC.
Practice address
11802 SW 12TH St
Miami, FL 33184-2506
Phone
(305) 804-7138
NPI assigned
Aug 17, 2008
Last updated
Aug 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2008

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

Authorized official

Name
Mr. Rene Azcuy
Title
Director
Phone
(305) 804-7138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

11802 SW 12TH St
Miami, FL 33184-2506

Mailing address

11802 SW 12TH St
Miami, FL 33184-2506

Other identifiers 2

IdentifierTypeStateIssuer
693551698MedicaidFL
693551696MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218931200000",
    "number": "1275789646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842506",
            "telephone_number": "305-804-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARILLO HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-17",
        "last_updated": "2008-08-17",
        "status": "A",
        "authorized_official_last_name": "AZCUY",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-804-7138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693551698",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693551696",
            "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 Aug 17, 2008; 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.