NPIMap

Organization Active NPI

Cristina Luciano M D P a

  • General Practice Physician
  • Penney Farms, FL
National Provider Identifier
1801073713
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME74563 Issued in FL
Legal business name
CRISTINA LUCIANO M D P A
Practice address
2 North Pavilion Place
Penney Farms, FL 32079-9207
Phone
(904) 349-6344
NPI assigned
Jan 23, 2008
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Cristina Luciano, M.D.
Title
Owner
Phone
(904) 349-6344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME74563 FL Primary

Addresses

Primary practice location

2 North Pavilion Place
Penney Farms, FL 32079-9207

Mailing address

PO Box 1004
Orange Park, FL 32067-1004
Phone (904) 349-6344

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1801073713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320671004",
            "telephone_number": "904-349-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTH PAVILION PLACE",
            "city": "PENNEY FARMS",
            "state": "FL",
            "postal_code": "320799207",
            "telephone_number": "904-349-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA LUCIANO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "LUCIANO",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-349-6344",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME74563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penney Farms, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.