Individual provider Active NPI

Elda Pilar Lauderman Regalado, MD

  • Internal Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1487756722
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0065129 Issued in FL
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

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
374529500MedicaidFL

Other names 1

  • Elda Pilar Regalado Professional 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
I20051008000212 FL Practitioner - Internal Medicine 1759306723 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0065129FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solera Health Systems CurrentSince Jun 7, 2023 Accepting new patients
Solera Health Systems CurrentSince Jun 7, 2023 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.

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

Verify at the official NPI Registry.