Organization Active NPI

Lacus Neuro PLLC

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1992464614
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
LACUS NEURO PLLC
Practice address
1999 SW 27TH Ave
Miami, FL 33145-2543
Phone
(787) 403-1578
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Lourdes Roxana Lago, MDNPI 1720316037
Title
Doctor
Phone
(787) 403-1578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1999 SW 27TH Ave
Miami, FL 33145-2543

Mailing address

1999 SW 27TH Ave
Miami, FL 33145-2543
Phone (787) 403-1578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220505002307 FL Part B Supplier - Clinic/Group Practice 5991182297 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1992464614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452543",
            "telephone_number": "787-403-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452543",
            "telephone_number": "787-403-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACUS NEURO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2022-03-17",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "ROXANA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-403-1578",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.