Individual provider Active NPI

Fernando Jose Lora, MD

  • Specialist
  • Miami, FL
National Provider Identifier
1427143908
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0045837 Issued in FL
Practice address
8300 W. Flagler St
Suite 175
Miami, FL 33144-2098
Phone
(305) 220-0300
Fax
(305) 220-1472
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0045837 FL Primary

Addresses

Primary practice location

8300 W. Flagler St
Suite 175
Miami, FL 33144-2098

Mailing address

8300 W Flagler St
Ste 175
Miami, FL 33144-6000
Phone (305) 220-0300

Other identifiers 1

IdentifierTypeStateIssuer
042148100MedicaidFL

Other names 1

  • Mr. Fernando Jose Lora Other name

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
I20080714000328 FL Practitioner - General SurgeryPractitioner - General PracticePractitioner - DermatologyPractitioner - Obstetrics/GynecologyPractitioner - Colorectal Surgery (Proctology)Practitioner - Peripheral Vascular DiseasePractitioner - Vascular Surgery 2062455884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology), Dermatology, General Practice, Obstetrics/Gynecology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8300 W Flagler St
Suite 175
Miami, FL 33144-2098
Phone (305) 220-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0045837FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Medical Center Inc Specialist CurrentSince Oct 1, 1984 Accepting new patients

Locations

8300 W Flagler St
Ste 175
Miami, FL 33144
Phone (305) 220-0300

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1427143908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W FLAGLER ST",
            "address_2": "STE 175",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331446000",
            "telephone_number": "305-220-0300",
            "fax_number": "305-220-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W. FLAGLER ST",
            "address_2": "SUITE 175",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442098",
            "telephone_number": "305-220-0300",
            "fax_number": "305-220-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA",
        "first_name": "FERNANDO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0045837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042148100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERNANDO",
            "last_name": "LORA",
            "middle_name": "JOSE",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.