Individual provider Active NPI

Madelyn Luzardo, D.M.D

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1982852141
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18476 Issued in FL
Practice address
1141 Palm Ave
Hialeah, FL 33010-3970
Phone
(305) 888-8555
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18476 FL Primary

Addresses

Primary practice location

1141 Palm Ave
Hialeah, FL 33010-3970

Mailing address

7415 SW 153Rd CT Apt 207
Miami, FL 33193-1738
Phone (305) 387-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18476FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Idalmes Perez D.D.S P.a General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1982852141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 SW 153RD CT APT 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931738",
            "telephone_number": "305-387-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103970",
            "telephone_number": "305-888-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZARDO",
        "first_name": "MADELYN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "18476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.