Active NPI
Lourdes Rosa Prieto, MD
- Pediatric Cardiology Physician
- Miami, FL
National Provider Identifier
1467545756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME133630
- Practice address
- 3100 SW 62ND Ave
Miami, FL 33155-3009 - Phone
- (305) 666-6511
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 35067270P | OH | |
| Pediatric Cardiology Physician | 2080P0202X | ME133630 | FL | Primary |
Addresses
Primary practice location
3100 SW 62ND Ave
Miami, FL 33155-3009
Mailing address
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 666-6511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0995222 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Johns Hopkins University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (786) 624-5876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicklaus Children'S Pediatric Specialists, LLC | Current | Accepting new patients | |
| Nicklaus Children'S Pediatric Specialists, LLC | Pediatric Cardiology | Current | Accepting new patients |
| Nicklaus Children'S Pediatric Specialists, LLC | Current | Accepting new patients |
Locations
3100 SW 62nd Ave
Ste A
Miami, FL 33155
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/53e6a1e6-ae3a-42a1-b1de-6de5bdf38a06/
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.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Miami, FL
- NPI 1588063176
-
- Pediatric Cardiology Physician
- Miami, FL
- NPI 1003360959
-
- Pediatric Hematology & Oncology Physician
- Fort Lauderdale, FL
- NPI 1295695104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1467545756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-666-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-666-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIETO",
"first_name": "LOURDES",
"middle_name": "ROSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "OH",
"license": "35067270P",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME133630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0995222",
"state": "OH"
}
],
"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 Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.