MEDICARE: LAZARA PORTUONDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1902738016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAZARA PORTUONDO

Provider Business Mailing Address
First Line	:	2500 NW 56TH AVE APT 302
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-2452
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NW 56TH AVE APT 302
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-2452
Country	:	US
Telephone Number	:	786-346-4924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

Similar Medicare Providers

1386577401 — JUDE AUGUSTIN
Practice Location Address:

2900 NW 56TH AVE APT D213
LAUDERHILL, FL
33313-1304

Practice Phone: 954-614-2842
Practice Fax:

1316871338 — MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA
Practice Location Address:

7145 W OAKLAND PARK BLVD
LAUDERHILL, FL
33313-1012

Practice Phone: 954-746-2055
Practice Fax: 954-746-6373

1194750927 — DR. LYDIA DACHELL REID SLPD
Practice Location Address:

7191 W OAKLAND PARK BLVD
LAUDERHILL, FL
33313-1050

Practice Phone: 954-474-8330
Practice Fax:

1407853088 — MICHAEL L DOUGLAS DC
Practice Location Address:

4140 NW 12TH ST
LAUDERHILL, FL
33313-5816

Practice Phone: 954-739-3331
Practice Fax: 954-792-4520

1932195047 — MED-PED ASSOCIATES PA
Practice Location Address:

1600 N STATE ROAD 7 , STE 300
LAUDERHILL, FL
33313-5853

Practice Phone: 954-581-1977
Practice Fax: 954-583-1667

1649251612 — PATRICIA JOSEPH-BROOME A.R.N.P.
Practice Location Address:

1600 N STATE ROAD 7 , SUITE 300
LAUDERHILL, FL
33313-5853

Practice Phone: 954-581-1977
Practice Fax: 954-583-1667

Directions to “ LAZARA PORTUONDO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.