Individual provider Active NPI

Lidelis D Lira, AP & LMT

  • Acupuncturist
  • Orlando, FL
National Provider Identifier
1598059263
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3334 Issued in FL
Practice address
11301 S Orange Blossom TRL Ste A208
Orlando, FL 32837-9292
Phone
(407) 751-2192
Fax
(407) 542-2243
NPI assigned
May 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA47503 FL
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP3334 FL Primary

Addresses

Primary practice location

11301 S Orange Blossom TRL Ste A208
Orlando, FL 32837-9292

Mailing address

14712 SW 5TH St
Pembroke Pines, FL 33027-6113
Phone (786) 352-3844

Other practice location 1

14712 SW 5th St
Pembroke Pines, FL 33027-6113
Phone (786) 352-3844

Other practice location 2

11251 S Orange Blossom Trl Ste 101
Orlando, FL 32837-9297
Phone (407) 751-2192 ext. 8

Other practice location 3

1287 N Semoran Blvd Ste 100
Orlando, FL 32807-3530
Phone (407) 751-2192 ext. 8

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP3334FLMDAcupuncturist
MA47503FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture and Physical Therapy Specialists, Inc. Acupuncturist PastSince Jun 14, 2020 Accepting new patients
Family Integrative Medicine of Orlando Multi-Specialty PastSince Jun 14, 2020 Accepting new patients

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": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591401600000",
    "number": "1598059263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14712 SW 5TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276113",
            "telephone_number": "786-352-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 S ORANGE BLOSSOM TRL STE A208",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379292",
            "telephone_number": "407-751-2192",
            "fax_number": "407-542-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14712 SW 5th St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330276113",
            "country_code": "US",
            "telephone_number": "786-352-3844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11251 S Orange Blossom Trl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328379297",
            "country_code": "US",
            "telephone_number": "407-751-2192 x8",
            "fax_number": "407-542-2243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1287 N Semoran Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328073530",
            "country_code": "US",
            "telephone_number": "407-751-2192 x8",
            "fax_number": "407-542-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIRA",
        "first_name": "LIDELIS",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "AP & LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-30",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA47503",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.