Individual
JOSE E. LUCENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 816209, HOLLYWOOD, FL 33081-0209
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
K1535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124634004
—
TX
05
—
124634005
—
TX
05
—
124634006
—
TX
05
—
124634007
—
TX
05
—
124634008
—
TX
05
—
124634009
—
TX
05
—
124634010
—
TX
Enumeration date
01/22/2006
Last updated
03/21/2016
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