Provider Type Icon

STEPHEN LUCERO MD PC NPI 1710259692


NPI Information

NPI: 1710259692
Provider Name: STEPHEN LUCERO, MD, PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1650 HOSPITAL DR
SUITE 300
SANTA FE, NM
ZIP 87505
Phone: (505) 989-8325
Get Directions

STEPHEN LUCERO, MD, PC is an urology in Santa Fe, NM. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. STEPHEN LUCERO, MD, PC NPI is 1710259692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1650 HOSPITAL DR
SUITE 300
SANTA FE, NM
ZIP 87505-769
Phone: (505) 989-8325
Fax: (505) 982-7665

The provider's authorized official is Stephen Paul Lucero .
The authorized official title is President and has the following contact phone number (505) 989-8325.

The enumeration date for this NPI number is 2/7/2012 and was last updated on 4/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology86 273NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NM 101792OTHERNEW MEXICOINDIVIDUAL PTAN
237481MEDICAIDNEW MEXICO
3C97937MEDICARE UPIN
4NM 101791OTHERNEW MEXICOGROUP PTAN
52125439MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.