Individual provider Active NPI

Jose Luis Lora, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1447764824
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9332373 Issued in FL
Practice address
2387 W 68TH St Ste 402
Hialeah, FL 33016-6890
Phone
(305) 822-4447
Fax
(305) 822-4484
NPI assigned
Nov 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9332373 FL Primary

Addresses

Primary practice location

2387 W 68TH St Ste 402
Hialeah, FL 33016-6890

Mailing address

9035 NW 168TH Ter
Miami Lakes, FL 33018-6341
Phone (305) 725-0872

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190502000810 FL Practitioner - Nurse Practitioner 9638411192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Medical Group IncGroup PAC ID 1658403589, 3 clinicians

Practice addresses (Care Compare)

5801 NW 151St St
Miami Lakes, FL 33014-2437
Phone (954) 297-2852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9332373FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lisbet Rodriguez Boloix PA Family CurrentSince May 15, 2024 Accepting new patients
Jose Luis Lora FNP LLC Family Past Accepting new patients

Locations

5801 NW 151st St
Ste 203
Miami Lakes, FL 33014
Phone (305) 822-4447

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1447764824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 NW 168TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186341",
            "telephone_number": "305-725-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 402",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890",
            "telephone_number": "305-822-4447",
            "fax_number": "305-822-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA",
        "first_name": "JOSE LUIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9332373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.