Active NPI
Brenelly Lozada-Cruz, MD, LLC
- Oncology Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1730484015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- License
- ME95048
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2747740 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.