Abelardo V. Lacano, MD, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME 20168 Issued in FL

Legal business name

ABELARDO V. LACANO, MD, PA

Practice address

300 Fortenberry Rd
Merritt Island, FL 32952-3621

Phone

(321) 452-8410

Fax

(321) 453-4938

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Abelardo Vasquez Lacano, M.D.

Title

President

Phone

(321) 452-8410

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871614511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FORTENBERRY RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523621",
            "telephone_number": "321-452-8410",
            "fax_number": "321-453-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FORTENBERRY RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523621",
            "telephone_number": "321-452-8410",
            "fax_number": "321-453-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABELARDO V. LACANO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACANO",
        "authorized_official_first_name": "ABELARDO",
        "authorized_official_middle_name": "VASQUEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-452-8410",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME 20168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05312",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4205733",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Merritt Island, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.