Jose Miguel Pro Landazuri, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

32959 Issued in FL

Practice address

5106 N Armenia Ave
Suite 2
Tampa, FL 33603

Phone

(813) 877-0423

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1659452332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-877-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRO LANDAZURI",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "32959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011912200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Prisella, CRNA
• Amber Lynn Privett, MSW, RCSWI, CWCM
• Privileged Faces, LLC (Glowmour Beauty)
• Pro Health Services, Inc.
• Pro Health, Inc
• Pro Medical & Rehabilitation Center Inc
• Pro-Active Physical Therapy, Inc.
• Pro-Tech Mobility LLC
• Proactive Dental LLC (A Caring Dentist)
• Proactive Medical Diagnostics

• Ophthalmology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.