Individual provider Active NPI

Eduardo Lazaro Tamargo, PN 926221

  • Licensed Practical Nurse
  • Miami, FL
National Provider Identifier
1780096768
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 926221 Issued in FL
Practice address
10401 SW 40TH St
Miami, FL 33165-3745
Phone
(305) 222-2000
Fax
(305) 222-2309
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 926221 FL Primary

Addresses

Primary practice location

10401 SW 40TH St
Miami, FL 33165-3745

Mailing address

10401 SW 40TH St
Miami, FL 33165-3745
Phone (305) 222-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Advanced Practice Nurse

State licenses

LicenseStateTypeSpecialty
PN 926221FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1780096768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653745",
            "telephone_number": "305-222-2000",
            "fax_number": "305-222-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653745",
            "telephone_number": "305-222-2000",
            "fax_number": "305-222-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMARGO",
        "first_name": "EDUARDO",
        "middle_name": "LAZARO",
        "credential": "PN 926221",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN 926221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.