Mirassania Luzincourt, CRDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH24788 Issued in FL

Practice address

3510 Biscayne Blvd
Miami, FL 33137-3840

Phone

(305) 576-1234

Fax

(305) 571-1887

NPI assigned

Jul 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mirassania St Victor Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1902329964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 NW 80TH TER",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634051",
            "telephone_number": "954-851-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373840",
            "telephone_number": "305-576-1234",
            "fax_number": "305-571-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZINCOURT",
        "first_name": "MIRASSANIA",
        "credential": "CRDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH24788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRASSANIA",
            "last_name": "ST VICTOR",
            "prefix": "MRS.",
            "credential": "CRDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Daniela Luzardo
• Isaac Candido Luzardo, M.D.
• Jordan Luzardo
• Luzmila Victorero
• LV Home Care Services, LLC.
• LVHR Services Inc
• LWR 523 LLC
• Johnson T Ly

• Dental Hygienist in Miami, FL
• Providers in Miami, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.