Organization Active NPI

Lucia Medical Center Inc

  • Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1972891935
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LUCIA MEDICAL CENTER INC
Practice address
1201 S Federal Hwy Ste a
Lake Worth, FL 33460-5644
Phone
(786) 315-8198
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Mr. Roberto Jesus Duenas Jr., LMT
Title
Owner
Phone
(786) 315-8198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1201 S Federal Hwy Ste a
Lake Worth, FL 33460-5644

Mailing address

1201 S Federal Hwy Ste a
Lake Worth, FL 33460-5644
Phone (786) 315-8198

National Provider Directory

National Provider Directory

Locations

1201 S Federal Hwy
Ste A
Lake Worth, FL 33460
Phone (786) 315-8198

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1972891935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S FEDERAL HWY STE A",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605644",
            "telephone_number": "786-315-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S FEDERAL HWY STE A",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605644",
            "telephone_number": "786-315-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "DUENAS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-315-8198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.