Individual provider Active NPI

Wladimir Pizzuto Lorentz, MD

  • Pediatrics Physician
  • Aventura, FL
National Provider Identifier
1700988136
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME80932 Issued in FL
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

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME008932 FL
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
51601OtherFLBLUE CROSS BLUE SHIELD
1209013OtherHUMANAS CHOICE CARE
1207337OtherUNITED HEALTHCARE
7477241OtherFLAETNA
7697371OtherCIGNA

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

LicenseStateTypeSpecialty
ME008932FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Night and Day Pediatrics LLC Single Specialty CurrentSince May 16, 2021 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

  • FHIR API: https://api.platform.athenahealth.com/7525/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.