Organization Active NPI

Henry Lujan MD LLC

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1407091903
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Mar 5, 2009

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
252543700MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.