Stephen Lucero, MD, PC

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

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Paul Lucero, MD

Title

President

Phone

(505) 989-8325

Specialties & licenses 1

Addresses

Other identifiers 3

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "NM 101791",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "NM 101792",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37481",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Glynne Steele
• Edwin D Steffy, DDS
• Aviv Li Stein
• Warren M. Steinman, PH.D.
• Silvia Stenitzer, MA, LPCC
• Pamela Stephens-Johnson, SLP
• Jose Pablo Sterling, MD
• Rachel Stermer
• Joshua Stess
• Marc A. Stess, DPM

• Urology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Urology Physician in New Mexico

• 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.