Lucero Rodriguez MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME93806 Issued in FL

Legal business name

LUCERO RODRIGUEZ MD PA

Practice address

10305 NW 41St St
Suite 202/205
Doral, FL 33178-2396

Phone

(305) 718-9800

Fax

(305) 718-9080

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lucero M Rodriguez, M.DNPI 1255364113

Title

President

Phone

(305) 718-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucero M Rodriguez, MD

  • Psychiatry Physician
  • Doral, FL
  • NPI 1255364113
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1912129263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N ROYAL POINCIANA",
            "address_2": "SUITE 200",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-718-9800",
            "fax_number": "305-225-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST",
            "address_2": "SUITE 202/205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782396",
            "telephone_number": "305-718-9800",
            "fax_number": "305-718-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCERO RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUCERO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-718-9800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME93806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bettina Marilu Lozzi-Toscano, PHD., LMHC
• Maria D. Luaces-Puerto, R.N.
• Mario Lubian
• Marie Y. Lubin, R.N.
• Lucent Medical Services
• Javier Daniel Luces
• Camila Ludert, RDN, LDN
• Marydelis Lugo
• Valentina Lugo Sr.
• Luis Antonio Ramirez MD PA

• Psychiatry Physician in Doral, FL
• Providers in Doral, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.