Lourdes Selem MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ACN325 Issued in FL

Legal business name

LOURDES SELEM MD PA

Practice address

5803 NW 151 Street
Ste 101
Miami Lakes, FL 33014-2473

Phone

(305) 696-8802

Fax

(305) 696-8156

NPI assigned

Jun 5, 2014

Last updated

Sep 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lourdes M Selem, MDNPI 1982809380

Title

President

Phone

(786) 504-8070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lourdes M Selem, MEDICAL DOCTOR

  • Psychiatry Physician
  • Miami Lakes, FL
  • NPI 1982809380

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1346653581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 NW 151 STREET",
            "address_2": "STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142473",
            "telephone_number": "305-696-8802",
            "fax_number": "305-696-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 NW 151 STREET",
            "address_2": "STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142473",
            "telephone_number": "305-696-8802",
            "fax_number": "305-696-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES SELEM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2023-09-05",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "SELEM",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-504-8070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ACN325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.