LKR Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME105604 Issued in FL

Legal business name

LKR MEDICAL, LLC

Practice address

412 Aledo Ave
Coral Gables, FL 33134-7144

Phone

(305) 582-5065

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lester Carrodeguas

Title

Manager

Phone

(305) 582-5065

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1629340963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ALEDO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ALEDO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347144",
            "telephone_number": "305-582-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKR MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "CARRODEGUAS",
        "authorized_official_first_name": "LESTER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-582-5065",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.