Individual provider Active NPI

Lazaro A Salgado, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1700411188
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000497 Issued in FL
Practice address
16795 NW 67TH Ave
Hialeah, FL 33015-4201
Phone
(305) 913-7300
Fax
(305) 362-9776
NPI assigned
Mar 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000497 FL Primary

Addresses

Primary practice location

16795 NW 67TH Ave
Hialeah, FL 33015-4201

Mailing address

430 NE 145TH St
Miami, FL 33161-2945
Phone (305) 985-8336

Other practice location 1

16241 Biscayne Blvd
Aventura, FL 33160-4300
Phone (305) 947-5494

Other identifiers 1

IdentifierTypeStateIssuer
110186900MedicaidFL

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618000121 FL Practitioner - Nurse Practitioner 0547489304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

16795 NW 67TH Ave
Palm Plaza Medical Center
Hialeah, FL 33015-4201
Phone (305) 913-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11000497FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Centers CurrentSince Jan 30, 2023 Accepting new patients
Health Holdings Company LLC Current Accepting new patients
Palm Medical Center - Aventura, LLC CurrentSince Jan 30, 2023 Accepting new patients
Palm Medical Center Lakeland LLC Past Accepting new patients
Palm Medical Center Lakeland LLC Past Accepting new patients

Locations

16241 Biscayne Blvd
Aventura, FL 33160
Phone (305) 947-5494

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

127 Ridge Center Dr
Davenport, FL 33837
Phone (863) 421-7400

16795 NW 67th Ave
Hialeah, FL 33015
Phone (305) 913-7300

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1700411188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NE 145TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612945",
            "telephone_number": "305-985-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16795 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154201",
            "telephone_number": "305-913-7300",
            "fax_number": "305-362-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16241 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331604300",
            "country_code": "US",
            "telephone_number": "305-947-5494",
            "fax_number": "305-947-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALGADO",
        "first_name": "LAZARO",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110186900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.