Lozano Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84676 Issued in FL

Legal business name

LOZANO INTERNAL MEDICINE LLC

Practice address

320 State Road 60 E
Ste 301
Lake Wales, FL 33853-3750

Phone

(863) 678-1400

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Gilberto Lozano, MDNPI 1558366732

Title

Owner - Provider

Phone

(863) 678-1400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gilberto A Lozano, M.D.

  • Internal Medicine Physician
  • Lake Wales, FL
  • NPI 1558366732

  FL, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1669595757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919317",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 STATE ROAD 60 E",
            "address_2": "STE 301",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533750",
            "telephone_number": "863-678-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOZANO INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "OWNER - PROVIDER",
        "authorized_official_telephone_number": "863-678-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Lynn Long
• Elba M Lopez, LMT
• Jade Rashida Lopez, DDS
• Stephanie Marie Lopez, HHA
• Melissa Ann Lovemore Wright, APRN
• Gilberto A Lozano, M.D.
• Riedasiel Lugo
• Edwina Patrice Mackroy-Snell, M.ED.
• Prerna Alfa Mall, DPM
• Ajay Kumar Mangal, M.D.

• All providers in Lake Wales, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.