Luciana Lualdi, PA-C
Individual provider Active NPI Physician Assistant · Key Biscayne, FL
NPI 1659602969 · NPPES record last updated Sep 13, 2016
Key facts
- NPI
- 1659602969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9109730 (FL)
- Practice address
- 743 Crandon Blvd Apt 305
Key Biscayne, FL 33149-2508 - Phone
- (305) 608-2750
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170127000943 | FL | Practitioner - Physician Assistant | 9234411232 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109730 | FL | Yes |
Addresses
Primary practice location
743 Crandon Blvd Apt 305
Key Biscayne, FL 33149-2508
Mailing address
743 Crandon Blvd Apt 305
Key Biscayne, FL 33149-2508
Phone (305) 608-2750
Other providers in Key Biscayne, FL
- Susana Leal-Khouri
- Leonard R. Levy
- Christina Loisel
- Sofia Lopez Molina
- Sloan Bruan Lorenzini
- Jill Anne Mackenzie-Jenkins
- Roxana Mancito
- Valeria Paula Manzullo
- Maria Ramirez Hubbard MD PA
- Christian Marrero
All providers in Key Biscayne, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.