Individual provider Active NPI

Laura Lucia Palacio Uribe, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1912523499
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME169332 Issued in FL
Practice address
1611 NW 12 Avenue Jackson Memorial Hospital
Radiology Department
Miami, FL 33136
Phone
(305) 585-8178
Fax
(305) 585-5743
NPI assigned
Jun 22, 2020
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X ME169332 FL Primary

Addresses

Primary practice location

1611 NW 12 Avenue Jackson Memorial Hospital
Radiology Department
Miami, FL 33136

Mailing address

5931 SW 7TH St
Miami, FL 33144-3935
Phone (786) 630-2125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827003150 FL Practitioner - Diagnostic Radiology 2668911256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

10 Giralda Ave
Suite 120
Coral Gables, FL 33134-5303
Phone (786) 467-5052

10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (904) 399-5550

1228 S Pine Island Rd
Suite 120
Plantation, FL 33324-4580
Phone 95483714204580

13500 SW 152 St
Miami, FL 33177-1111
Phone (904) 399-5550

13500 Sw152Nd St
Suite 120
Miami, FL 33177-1111
Phone (786) 596-4333

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

14660 SW 8TH St
Miami, FL 33184-3135
Phone (904) 399-5550

15885 Pines Blvd
Suite 120
Pembroke Pines, FL 33027-1220
Phone (954) 837-1350

15955 SW 96 St
Miami, FL 33196-1272

1956 Carolina Ave NE
St Petersburg, FL 33703-3410
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

20991 Old Cutler Rd
Cutler Bay, FL 33189-2469
Phone (786) 595-1795

240 Crandon Blvd
Suite 110
Key Biscayne, FL 33149-1543
Phone (786) 595-8250

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550

4741 S University Dr
Suite 120
Davie, FL 33328-3819
Phone (954) 837-1060

5931 SW 7TH St
Miami, FL 33144-3935
Phone (904) 399-5550

6200 SW 73 St
South Miami, FL 33143-4679
Phone (904) 399-5550

6264 W Sample Rd
Coral Springs, FL 33067-3273

8725 SW 136TH St
Miami, FL 33176-5814

8840 Bird Rd
Suite 300
Miami, FL 33165-5482
Phone (786) 596-3880

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (904) 399-5550

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

9555 SW 162 Ave
Miami, FL 33196-6408
Phone (904) 399-5550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jul 12, 2024 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1912523499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 SW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443935",
            "telephone_number": "786-630-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12 AVENUE JACKSON MEMORIAL HOSPITAL",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-585-8178",
            "fax_number": "305-585-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO URIBE",
        "first_name": "LAURA",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME169332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.