Active NPI
Elda Pilar Lauderman Regalado, MD
- Internal Medicine Physician
- Miami Lakes, FL
National Provider Identifier
1487756722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0065129
- Practice address
- 15600 NW 67TH Ave Ste 105
Miami Lakes, FL 33014-2175 - Phone
- (305) 760-2525
- NPI assigned
- Sep 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0065129 | FL | Primary |
Addresses
Primary practice location
15600 NW 67TH Ave Ste 105
Miami Lakes, FL 33014-2175
Mailing address
14441 SW 37TH St
Miramar, FL 33027-3787
Phone (954) 430-4167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374529500 | Medicaid | FL |
Other names 1
- Elda Pilar Regalado
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0065129 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solera Health Systems | Current | Accepting new patients | |
| Solera Health Systems | Current | Accepting new patients |
Locations
1205 SW 37th Ave
Miami, FL 33135
Phone (305) 448-8100
15600 NW 67th Ave
Ste 105
Miami Lakes, FL 33014
Phone (305) 556-8353
1850 NE 163rd St
North Miami Beach, FL 33162
Phone (305) 456-2997
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1821389727
-
- Clinic/Center
- North Miami Beach, FL
- NPI 1508418070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1487756722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14441 SW 37TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273787",
"telephone_number": "954-430-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 NW 67TH AVE STE 105",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142175",
"telephone_number": "305-760-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUDERMAN REGALADO",
"first_name": "ELDA",
"middle_name": "PILAR",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0065129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374529500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELDA",
"last_name": "REGALADO",
"middle_name": "PILAR",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.