Organization Active NPI

Brenelly Lozada-Cruz, MD, LLC

  • Oncology Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1730484015
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
ME95048 Issued in FL
Legal business name
BRENELLY LOZADA-CRUZ, MD, LLC
Practice address
6405 N Federal Hwy Ste 300
Fort Lauderdale, FL 33308-1414
Phone
(954) 772-0711
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Miss Brenelly Lozada-Cruz, MD
Title
President and Owner
Phone
(954) 594-9824

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X ME95048 FL
Oncology Clinic/Center 261QX0200X ME95048 FL Primary

Addresses

Primary practice location

6405 N Federal Hwy Ste 300
Fort Lauderdale, FL 33308-1414

Mailing address

2051 Coral Heights Blvd # 202
Fort Lauderdale, FL 33308-5216
Phone (954) 594-9824

Other identifiers 1

IdentifierTypeStateIssuer
2747740MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1730484015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CORAL HEIGHTS BLVD # 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085216",
            "telephone_number": "954-594-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081414",
            "telephone_number": "954-772-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENELLY LOZADA-CRUZ, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "LOZADA-CRUZ",
        "authorized_official_first_name": "BRENELLY",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "954-594-9824",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "FL",
            "license": "ME95048",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "FL",
            "license": "ME95048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2747740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.