Provider Demographics
NPI:1467491647
Name:CESPEDES, LUZ C (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:C
Last Name:CESPEDES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LUZ
Other - Middle Name:DEL CARMEN
Other - Last Name:CESPEDES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6797 PORTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3018
Mailing Address - Country:US
Mailing Address - Phone:516-864-9451
Mailing Address - Fax:631-470-4721
Practice Address - Street 1:3000 CORAL HILLS DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4108
Practice Address - Country:US
Practice Address - Phone:854-344-3296
Practice Address - Fax:954-796-3922
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225451207R00000X
FLME92868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02426002Medicaid
NYH82642Medicare UPIN
NY71S181Medicare ID - Type Unspecified