LOURDES (NPI# 1538519319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538519319 |
| Entity Type | Organization |
| Organization Name | LOURDES |
| Other Organization Name | CANO FAMILY DENTAL |
| Practice Address |
680 N University Dr Pembroke Pines FL 33024-6738 |
| Practice Telephone | 9545386868 |
| Practice Fax Number | 9545386850 |
| Mailing Telephone | 9545386868 |
| Mailing Fax Number | 9545386850 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | DR. STEPHANIE M HERNANDEZ (OWNER) |
| Authorized Official Telephone | 9545386868 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN15630 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 604782 | 05 |
| Other Name | Type Code |
|---|---|
| CANO FAMILY DENTAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053775841 | Lourdes | Special Hospital | 224 N 7th Ave, Pasco, WA 99301 | 2016-04-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOURDES ACADEMY | 1014 N Halifax Ave, Daytona Beach, FL 32118-3614 |
| New York State Corporations | LOURDES AUQUILLA, LLC | 418 Broadway, Ste N, Albany, Ny 12207 |
| New York State Corporations | LOURDES BEAUTY SUPPLY INC. | Po Box 8473, Sleepy Hollow, Ny 10591 |
| System for Award Management (SAM) Entities | LOURDES CAMDEN DIALYSIS | 1601 Haddon Ave, Camden, NJ 08103-3109 |
| System for Award Management (SAM) Entities | LOURDES CENTRAL CATHOLIC HIGH SCHOOL | 412 2nd Ave, Nebraska City, NE 68410-1704 |
| Connecticut Business Registrations | Lourdes Cleaning Services LLC | 915 South Main St., Waterbury, CT 06706 |
| System for Award Management (SAM) Entities | LOURDES COUNSELING CENTER | 1175 Carondelet Dr, Richland, WA 99354-3300 |
| New York State Corporations | LOURDES DENTAL PLLC | 1185 Northern Blvd., Manhasset, Ny 11030 |
| System for Award Management (SAM) Entities | LOURDES DIALYSIS, LLC | 7560 Red Bug Lake Rd Ste 1048, Oviedo, FL 32765-6591 |
| Oregon Corporations, Companies and Business Names | LOURDES EDGE | 3800 Carman Dr, Lake Oswego, OR 97035 |
| Street Address |
680 N UNIVERSITY DR |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831164557 | Jose Nicolas Aponte | Internal Medicine | 680 N University Dr, Pembroke Pines, FL 33024-6738 | 2006-02-17 |
| 1487122909 | Katia Daniel | Nurse Practitioner | 680 N University Dr, Pembroke Pines, FL 33024-6738 | 2018-11-02 |
| 1730686833 | Dental Excellence Partners LLC | Dentist | 680 N University Dr, Pembroke Pines, FL 33024-6738 | 2018-04-06 |
| 1467984401 | Chloe Celusnek | Physician Assistant | 680 N University Dr, Pembroke Pines, FL 33024-6738 | 2017-03-29 |
| 1912449463 | Veronica Wittman | Nurse Practitioner | 680 N University Dr, Pembroke Pines, FL 33024-6738 | 2016-11-15 |
| 1407306699 | Fabio David Pereira | Physician Assistant | 680 N University Dr, 100, Pembroke Pines, FL 33024-6738 | 2016-10-11 |
| 1073969341 | Jason Godinez | Physician Assistant | 680 N University Dr, Pembroke Pines, FL 33024-6738 | 2016-05-05 |
| 1891158218 | Advanced Care Monitoring, LLC | Internal Medicine | 680 N University Dr, Pembroke Pines, FL 33024-6738 | 2016-04-02 |
| 1194101501 | Dara Boyce | Physician Assistant | 680 N University Dr, Pembroke Pines, FL 33024 | 2015-08-07 |
| 1609256072 | Ivan Dominguez | Internal Medicine | 680 N University Dr, Pembroke Pines, FL 33024 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702816 | Sonya Dee Lewis | Dentist | 10252 Sw 12th St, Pembroke Pines, FL 33025-4701 | 2019-10-19 |
| 1750853446 | Jaime J Casado | Dentist | 12601 Sw 13th St Apt 211, Pembroke Pines, FL 33027-6896 | 2018-12-19 |
| 1972093904 | Dentists of Pines, Pa | Dentist | 10430 Pines Blvd Ste C103, Pembroke Pines, FL 33026-6049 | 2018-05-15 |
| 1669995684 | Roula Yazaji | Dentist | 9840 Sheridan St Apt 307, Pembroke Pines, FL 33024-3062 | 2017-07-21 |
| 1255860706 | Ruben Villarreal | Dentist | 17631 Sw 4th Ct, Pembroke Pines, FL 33029-4016 | 2017-06-08 |
| 1184153587 | Javier Servigna | Dentist | 10620 Washington St, 104, Pembroke Pines, FL 33025 | 2017-06-08 |
| 1134654064 | West Pines Modern Dentistry, Pa | Dentist | 18312 Pines Blvd, Pembroke Pines, FL 33029-1412 | 2017-04-28 |
| 1841721610 | Dental Bliss P.a. | Dentist | 9990 Nw 6th Ct, Bay 16, Pembroke Pines, FL 33024-6157 | 2017-03-23 |
| 1134593296 | Amonem Inc. | Dentist | 9001a Pembroke Rd, Pembroke Pines, FL 33025-1637 | 2015-11-30 |
| 1316329626 | Dania Santana | Dentist | 6720 Pines Blvd, Pembroke Pines, FL 33024 | 2015-06-23 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on LOURDES.
| 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.