Individual provider Active NPI

Lourdes Roxana Lago, M.D.

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1720316037
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME116700 Issued in FL
Practice address
1999 SW 27TH Ave
Miami, FL 33145-2543
Phone
(305) 823-8510
Fax
(305) 823-8530
NPI assigned
Nov 24, 2009
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12,504I PR
Neurology Physician 2084N0400X ME116700 FL Primary

Addresses

Primary practice location

1999 SW 27TH Ave
Miami, FL 33145-2543

Mailing address

1999 SW 27TH Ave
Miami, FL 33145-2543
Phone (305) 823-8510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lourdes.lago@fcn.eclinicaldirectplus.com

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
I20150527001245 FL Practitioner - Neurology 0345560744 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

1999 SW 27TH Ave
Miami, FL 33145-2543
Phone (786) 636-8868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12,504IPRMDInternal Medicine Physician
ME116700FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Neurology CurrentSince Aug 1, 2021 Accepting new patients
Neuroscience Consultants LLP Neurology CurrentSince May 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Focus Brain Therapy Neurology CurrentSince Aug 1, 2024 Accepting new patients
Tenet Florida Physician Services LLC Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2015 Accepting new patients
Lacus Neuro PLLC Neurology CurrentSince Apr 18, 2022 Accepting new patients
Stewart and Stewart a Medical Corporation Internal Medicine Past Accepting new patients

Locations

10650 W State Road 84
Ste 208
Davie, FL 33324
Phone (305) 495-8172

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

7100 W 20th Ave
Ste 107
Hialeah, FL 33016
Phone (305) 822-1000

7100 W 20th Ave
Ste 504
Hialeah, FL 33016
Phone (305) 819-1820

9960 NW 116th Way
Ste 13
Medley, FL 33178

1999 SW 27th Ave
Miami, FL 33145
Phone (305) 646-1936

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Interoperability endpoints

  • Direct secure messaging: llago255317@mhsdirect.net
  • Direct secure messaging: llago68818@direct.med.miami.edu
  • Direct secure messaging: lourdes.lago.p1@direct.caremax.nextgenshare.com
  • Direct secure messaging: lourdes.lago.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1720316037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452543",
            "telephone_number": "305-823-8510",
            "fax_number": "305-823-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452543",
            "telephone_number": "305-823-8510",
            "fax_number": "305-823-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGO",
        "first_name": "LOURDES",
        "middle_name": "ROXANA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12,504I",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME116700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lourdes.lago@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1999 SW 27th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331452543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.