Lisgrace D Boucugnani

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11030577 Issued in FL

Practice address

4440 W 16TH Ave
Hialeah, FL 33012-7821

Phone

(786) 298-5037

NPI assigned

Jan 15, 2024

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Clinica Las Mercedes, LLC

  dba Las Mercedes Medical Centers

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1326090960
  NPD
• Pasteur & Wellmax Medical Centers LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Hialeah, FL
  • NPI 1194546515
  NPD

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1770354912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127821",
            "telephone_number": "786-298-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCUGNANI",
        "first_name": "LISGRACE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Bosque
• Janeth Bossa, BA
• Linette Botana, APRN
• Ana Raquel Botello Frometa, BCBA
• Brianna Botteri
• Yailu Boullon Araujo
• Jose Arturo Boullosa Fuchs
• Indira Boutros Garcia
• Josue Pablo Boutros, MD
• Bouza & Miralles Medical Associates

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.