Active NPI
Wladimir Pizzuto Lorentz, MD
- Pediatrics Physician
- Aventura, FL
National Provider Identifier
1700988136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME80932
- Practice address
- 15805 Biscayne Blvd Ste 211
Aventura, FL 33160-5378 - Phone
- (786) 360-6315
- Fax
- (786) 360-6473
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME008932 | FL | |
| Pediatrics Physician | 208000000X | ME80932 | FL | Primary |
Addresses
Primary practice location
15805 Biscayne Blvd Ste 211
Aventura, FL 33160-5378
Mailing address
15805 Biscayne Blvd Ste 211
Aventura, FL 33160-5378
Phone (786) 360-6315
Other practice location 1
1011 Sunnybrook Rd
Suite 903
Miami, FL 33136-2210
Phone (786) 360-6315
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51601 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1209013 | Other | HUMANAS CHOICE CARE | |
| 1207337 | Other | UNITED HEALTHCARE | |
| 7477241 | Other | FL | AETNA |
| 7697371 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME008932 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Night and Day Pediatrics LLC | Single Specialty | Current | Accepting new patients |
Locations
15805 Biscayne Blvd
Ste 211
Aventura, FL 33160
Phone (786) 360-6315
7932 W Sand Lake Rd
Ste 305
Orlando, FL 32819
Interoperability endpoints
- https://api.platform.athenahealth.com/7525/brand/1/csg/1/fhir/r4
- wladimir.lorentz.1@7525.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- North Miami Beach, FL
- NPI 1881026979
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1700988136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15805 BISCAYNE BLVD STE 211",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331605378",
"telephone_number": "786-360-6315",
"fax_number": "786-360-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15805 BISCAYNE BLVD STE 211",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331605378",
"telephone_number": "786-360-6315",
"fax_number": "786-360-6473"
}
],
"practiceLocations": [
{
"address_1": "1011 Sunnybrook Rd",
"address_2": "Suite 903",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331362210",
"country_code": "US",
"telephone_number": "786-360-6315",
"fax_number": "786-360-6473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORENTZ",
"first_name": "WLADIMIR",
"middle_name": "PIZZUTO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME008932",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME80932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51601",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANAS CHOICE CARE",
"identifier": "1209013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1207337",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7477241",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7697371",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.