Leodan Lantigua Sr.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS12142 Issued in FL

Practice address

960 SW 82 Ave
Miami, FL 33144

Phone

(305) 266-7556

Fax

(305) 266-7557

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1518329911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440846",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440846",
            "telephone_number": "305-266-7556",
            "fax_number": "305-266-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SW 82 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33144",
            "telephone_number": "305-266-7556",
            "fax_number": "305-266-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTIGUA",
        "first_name": "LEODAN",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS12142",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Lantigua Diaz
• Shana Samady Lantigua Heredia
• Danaysi Lantigua Lozada
• Egreny Lantigua Suarez
• Carlos Alberto Lantigua, DMD
• Nettie Lantigua
• Yosilene Lantris Perez
• James Lantz, DPT, MOT
• Deborah Lanz
• Diana Martha Lanza Monlongo

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.