Active NPI
Henry Lujan MD LLC
- Surgery Physician
- Miami, FL
National Provider Identifier
1407091903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- HENRY LUJAN MD LLC
- Practice address
- 9195 Sunset Dr
Suite 230
Miami, FL 33173-3488 - Phone
- (305) 271-4814
- Fax
- (305) 279-1994
- NPI assigned
- Dec 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry Lujan, MD
- Title
- Physician Director
- Phone
- (305) 546-1505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
9195 Sunset Dr
Suite 230
Miami, FL 33173-3488
Mailing address
12200 Vista LN
Pinecrest, FL 33156-5741
Phone (305) 546-1505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252543700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236211200000",
"number": "1407091903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 VISTA LN",
"city": "PINECREST",
"state": "FL",
"postal_code": "331565741",
"telephone_number": "305-546-1505",
"fax_number": "305-668-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9195 SUNSET DR",
"address_2": "SUITE 230",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733488",
"telephone_number": "305-271-4814",
"fax_number": "305-279-1994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY LUJAN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-11",
"last_updated": "2009-03-05",
"status": "A",
"authorized_official_last_name": "LUJAN",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "PHYSICIAN DIRECTOR",
"authorized_official_telephone_number": "305-546-1505",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252543700",
"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 Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.