Provider Demographics
NPI:1174657167
Name:LUPIS, FRANCESCO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCESCO
Middle Name:
Last Name:LUPIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 NW 33RD ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1937
Mailing Address - Country:US
Mailing Address - Phone:786-408-8502
Mailing Address - Fax:305-402-0855
Practice Address - Street 1:196 KITTS LN
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-4250
Practice Address - Country:US
Practice Address - Phone:844-307-4827
Practice Address - Fax:305-402-0855
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35090341207Q00000X
CT050637207Q00000X
CT50637207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2843383Medicaid
344441792OtherTAX IDENTIFICATION NUMBER UNDER MAGRUDER HOSPITAL