Individual provider Active NPI

Luis Eduardo Linarez Parraga, SA-C

  • Surgical Assistant
  • Fort Pierce, FL
National Provider Identifier
1083577209
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
21-303 Issued in FL
Practice address
769 Carlyle Way
Fort Pierce, FL 34947-1361
Phone
(407) 335-5577
NPI assigned
Dec 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2880-P.A. PR
Surgical Physician Assistant 363AS0400X 2880-P.A. PR
Surgical Assistant 246ZC0007X 21-303 FL Primary

Addresses

Primary practice location

769 Carlyle Way
Fort Pierce, FL 34947-1361

Mailing address

769 Carlyle Way
Fort Pierce, FL 34947-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21-303FLMDSurgical Assistant
2880-P.A.PRMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1083577209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 CARLYLE WAY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349471361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 CARLYLE WAY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349471361",
            "telephone_number": "407-335-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINAREZ PARRAGA",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2880-P.A.",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "2880-P.A.",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "21-303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.