Active NPI
Richard Lazaro Luis, CRNA, DNP
- Certified Registered Nurse Anesthetist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN9328625
- Practice address
- 1400 NW 12TH Ave
Miami, FL 33136-1003 - Phone
- (305) 325-5511
- NPI assigned
- Nov 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN9328625 | FL | Primary |
Addresses
Primary practice location
1400 NW 12TH Ave
Miami, FL 33136-1003
Mailing address
8600 SW 128TH St
Miami, FL 33156-5826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9328625 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia on Demand - a Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Coast Anesthesia LLC | Current | Accepting new patients | |
| Anesthesiology Professional Services, Inc. | Current | Accepting new patients |
Locations
801 S Chevy Chase Dr
Ste 106
Glendale, CA 91205
Phone (818) 265-2275
2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469
401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882
460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260
6100 Waterford District Dr
Ste 450
Miami, FL 33126
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1902856891
-
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1538641352
-
- Certified Registered Nurse Anesthetist
- Glendale, CA
- NPI 1003485384
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1447764733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 SW 128TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361003",
"telephone_number": "305-325-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUIS",
"first_name": "RICHARD",
"middle_name": "LAZARO",
"name_prefix": "Dr.",
"credential": "CRNA, DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9328625",
"primary": true
}
],
"identifiers": [],
"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 Nov 22, 2017; 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.