| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAZARO LUIS GAFAS | 1053854315 | 2016-11-18 |
Lazaro L Gafas [M] graduated in 2016 and primarily specializes in Nurse Practitioner.
Lazaro Luis Gafas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053854315. Registration indicates Lazaro Luis Gafas is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 9739451766 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Lazaro Luis Gafas APRN, FNP-C,PMHNP-BC |
| Practice Office Address | 7950 NW 53RD ST STE 337 MIAMI, FL US |
| Practice Office Telephone | 7865296651 |
| Practice Office Fax | 6125004880 |
| Mailing Address | 7950 NW 53RD ST STE 337 MIAMI, FL 331664791 US |
| Business Telephone | 7865296651 |
| Business Fax | 6125004880 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 15160 SW 136th St Unit 12 | Miami, FL 33196 | 3056145382 / 6125004880 |
| 13872 SW 90th Ave Apt Ff210 | Miami, FL 331768923 | 3056145382 / 6125004880 |
| 13872 SW 90th Ave. Apt. FF210 | Miami, FL 33176 | 3056145382 / 6125004880 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN9325283
FL |
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN9325283
FL |
| 117193800 | MEDICAID | FL |