Provider Demographics
NPI:1346872934
Name:LUZARDO, FLOR ALEJANDRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:FLOR
Middle Name:ALEJANDRA
Last Name:LUZARDO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 SW 163RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3427
Mailing Address - Country:US
Mailing Address - Phone:786-451-9171
Mailing Address - Fax:
Practice Address - Street 1:7940 SW 163RD PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3427
Practice Address - Country:US
Practice Address - Phone:786-451-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23773122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist