LISSETTE PEREZ LAZO (NPI# 1003208083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003208083 |
| Entity Type | Individual |
| Full Name | LISSETTE PEREZ LAZO |
| Other Name | LISSETTE PEREZ |
| Credential | DO |
| Practice Address |
1750 Ne 167th St North Miami Beach FL 33162 |
| Mailing Address |
15702 Sw 44th Ter Miami FL 33185-4593 |
| Practice Telephone | 9542624100 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS15013 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 W 68th St Ste 202, Hialeah, FL 330161801 | 3053642107 | 3058228347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942748546 | Lissette Lazo | Assistant Behavior Analyst | 804 Ne 120th St, Biscayne Park, FL 33161-6314 | 2017-02-03 |
| Street Address |
1750 NE 167TH ST |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659327005 | Maria Celia Orozco | Technician/Technologist | 1750 Ne 167th St, Suite 130, North Miami Beach, FL 33162-3017 | 2006-05-26 |
| 1588271803 | Maria De Las Mercedes Cutanda Puigvert | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-09-30 |
| 1932716206 | Hector Romero | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-09-30 |
| 1568079135 | Veronica Virginia Alfonzo Hernandez | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-09-28 |
| 1639780497 | Youness Amri | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-08-13 |
| 1336750116 | Rasha Touma | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-08-13 |
| 1356959399 | Paula Corinne De Freitas | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-07-15 |
| 1518575620 | Ammar Sakka | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-07-15 |
| 1477161487 | Jose Ramon Machado Cespedes | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-07-15 |
| 1720696735 | Ana Carolina Hernandez | Student in an Organized Health Care Education/Training Program | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1336750801 | Asure Wound Solutions LLC | Durable Medical Equipment & Medical Supplies | 1202 Northeast 176th Street, North Miami Beach, FL 33162 | 2020-08-10 |
| 1790301117 | Sherleene Monbrun | Assistant Behavior Analyst | 16201 Ne, North Miami Beach, FL 33162 | 2020-06-22 |
| 1659939692 | Drubi Dental | Dentist | 18140 Ne 19th Ave, North Miami Beach, FL 33162 | 2019-06-04 |
| 1003389297 | Courtney Just | Specialist/Technologist | 16821 N.e. 6th Avenue, North Miami Beach, FL 33162 | 2019-01-10 |
| 1508338039 | Li Huang Kruszka | Nurse Practitioner | 16260 Ne13 Ave, North Miami Beach, FL 33162 | 2018-12-21 |
| 1194209577 | Batia Kramer | Homemaker | 2040 Ne 163rd Street, Suite 202e, Suite 202e, North Miami Beach, FL 33162 | 2018-09-20 |
| 1346734241 | Karan Rajpal | Physician Assistant | 18100 Ne 19th Ave Ste 102, North Miami Beach, FL 33162 | 2018-06-14 |
| 1265937528 | Brace Plus LLC | Durable Medical Equipment & Medical Supplies | 16770 Ne 5th Ave, North Miami Beach, FL 33162 | 2018-03-28 |
| 1851894315 | Youth and You, Inc | Clinic/Center | 2020 Ne 163rd Street Suite 203, N Miami Beach, FL 33162 | 2018-03-12 |
| Find all providers in zip 33162 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790254027 | Linda Rachel Topel | Family Medicine | 1911 Ne 197 Terrace, North Miami Beach, FL 33179 | 2018-11-15 |
| 1144729476 | Clp Medical Center Inc | Family Medicine | 1869 Ne 163rd St Ste 1, North Miami Beach, FL 33162-4805 | 2018-02-01 |
| 1508308735 | Golden Doctors Office LLC | Family Medicine | 115 Nw 167th St Fl 2, North Miami Beach, FL 33169-6031 | 2016-11-04 |
| 1265805147 | Rafael Pineiro | Family Medicine | 1380 Ne Miami Gardens Dr Ste 220, North Miami Beach, FL 33179-4709 | 2015-11-02 |
| 1912252602 | Allen Medical Housecalls International, Inc. | Family Medicine | 2221 Ne 164th St, Suite 314, North Miami Beach, FL 33160-3703 | 2012-07-18 |
| 1467696286 | Roza Gurarye, Md, Pa | Family Medicine | 2020 Ne 163rd St Ste 105, North Miami Beach, FL 33162-4927 | 2009-04-23 |
| 1437301397 | George Elias Rovito | Family Medicine | 3577 Ne 168th St, North Miami Beach, FL 33160-3560 | 2008-10-22 |
| 1093978843 | Michele Balizer Scheck | Family Medicine | 1486 Presidential Way, North Miami Beach, FL 33179-6420 | 2008-07-02 |
| 1710001565 | Gene Godoy | Family Medicine | 790 Ives Dairy Rd, North Miami Beach, FL 33179-2425 | 2007-03-19 |
| 1881732634 | Nova Southeastern University, Inc | Family Medicine | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2007-02-02 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33162 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.