Organization Active NPI

Stephen Lucero, MD, PC

  • Urology Physician
  • Santa Fe, NM
National Provider Identifier
1710259692
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
86 273 Issued in NM
Legal business name
STEPHEN LUCERO, MD, PC
Practice address
1650 Hospital Dr
Suite 300
Santa Fe, NM 87505-4769
Phone
(505) 989-8325
Fax
(505) 982-7665
NPI assigned
Feb 7, 2012
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Stephen Paul Lucero, MDNPI 1154414027
Title
President
Phone
(505) 989-8325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 86 273 NM Primary

Addresses

Primary practice location

1650 Hospital Dr
Suite 300
Santa Fe, NM 87505-4769

Mailing address

1650 Hospital Dr
Suite 300
Santa Fe, NM 87505-4769
Phone (505) 989-8325

National Provider Directory

National Provider Directory

Locations

1650 Hospital Dr
Ste 300
Santa Fe, NM 87505
Phone (505) 629-3116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1710259692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054769",
            "telephone_number": "505-989-8325",
            "fax_number": "505-982-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054769",
            "telephone_number": "505-989-8325",
            "fax_number": "505-982-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN LUCERO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-989-8325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NM",
            "license": "86 273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.