Lourdes

Primary specialty

DentistTaxonomy code 122300000X

License

DN15630 Issued in FL

Legal business name

LOURDES

Doing business as

Cano Family Dental

Practice address

680 N University Dr
Pembroke Pines, FL 33024-6738

Phone

(954) 538-6868

Fax

(954) 538-6850

NPI assigned

Jun 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie M Hernandez, DMD

Title

Owner

Phone

(954) 538-6868

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CANO FAMILY DENTAL Doing business as

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1538519319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246738",
            "telephone_number": "954-538-6868",
            "fax_number": "954-538-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246738",
            "telephone_number": "954-538-6868",
            "fax_number": "954-538-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-538-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604782",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANO FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eddie Louis
• Paul M. Louis, M.D.
• Perpetue Carrole Louis
• Stephanie Louis
• Marie C Louissaint, ARNP
• Tatiana Lourenco Shiber
• Lovable Family Home Care LLC
• Loving Care Management Corp
• Chrisafina Maria Lowery
• Raul Lozano, APRN

• Dentist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.