LUIS ALBERTO CARDENAS

Address: 6440 Sw 39th Ter, Miami, FL 33155-4820

LUIS ALBERTO CARDENAS (NPI# 1609492685, PAC ID# 4688086580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1609492685
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 4688086580
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20201217002514
Last Name CARDENAS
First Name LUIS
Middle Name ALBERTO
Gender M
Organization Legal Name 40TH STREET INPATIENT SERVICES, LLC
Address 11750 Sw 40 St
Miami
FL 33175-3530
Phone Number 3052233000
Graduation Year 2020
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1759513567
Number of Group Practice Members 34
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Provider Overview

Nation Provider ID (NPI) 1609492685
by National Plan and Provider Enumeration System (NPPES)
Full Name LUIS ALBERTO CARDENAS
Taxonomy Code 363LF0000X
Taxonomy Classification Nurse Practitioner · Family
Location 11750 Sw 40th St, Miami, FL 33175-3530

Office Location

Street Address 6440 SW 39TH TER
City MIAMI
State FL
Zip Code 33155-4820

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Competitor

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City MIAMI
Zip Code 33155
Specialty NURSE PRACTITIONER
City + Specialty MIAMI + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.