Individual provider Active NPI

Miguel J Lanz, MD

  • Allergy Physician
  • Coral Gables, FL
National Provider Identifier
1710034129
Registry record updated Jan 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME067980 Issued in FL
Practice address
365 Alcazar Ave
Coral Gables, FL 33134-4301
Phone
(305) 445-0441
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME067980 FL Primary
Pediatric Allergy/Immunology Physician 2080P0201X ME067980 FL

Addresses

Primary practice location

365 Alcazar Ave
Coral Gables, FL 33134-4301

Mailing address

365 Alcazar Ave
Coral Gables, FL 33134-4301
Phone (305) 445-0441

Other identifiers 1

IdentifierTypeStateIssuer
252786300MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000602 FL Practitioner - Allergy/Immunology 3870672876 Practice locations: Coral Gables, FL

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Miami, LM Miller School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

365 Alcazar Ave
Coral Gables, FL 33134-4301
Phone (305) 445-0441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326585600000",
    "number": "1710034129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 ALCAZAR AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344301",
            "telephone_number": "305-445-0441",
            "fax_number": "305-445-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 ALCAZAR AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344301",
            "telephone_number": "305-445-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZ",
        "first_name": "MIGUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME067980",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "FL",
            "license": "ME067980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252786300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.