Individual provider Active NPI

Lourdes Cristina Lagonowicz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami, FL
National Provider Identifier
1396946604
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME98942 Issued in FL
Practice address
1450 NW 10TH Ave
Suite 3054
Miami, FL 33136-1011
Phone
(305) 243-3636
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME98942 FL Primary

Addresses

Primary practice location

1450 NW 10TH Ave
Suite 3054
Miami, FL 33136-1011

Mailing address

7501 SW 117TH St
Miami, FL 33156-4559
Phone (305) 775-2765

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000435 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 7618156225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1396946604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 SW 117TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331564559",
            "telephone_number": "305-775-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NW 10TH AVE",
            "address_2": "SUITE 3054",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361011",
            "telephone_number": "305-243-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGONOWICZ",
        "first_name": "LOURDES",
        "middle_name": "CRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME98942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.