Individual provider Active NPI

Luis Bernardo Eiber, D.P.M.

  • Foot Surgery Podiatrist
  • Hialeah, FL
National Provider Identifier
1093713232
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO 1534 Issued in FL
Practice address
4410 West 16TH Avenue
Suite 53
Hialeah, FL 33012-7194
Phone
(305) 558-7437
Fax
(305) 558-1881
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO 1534 FL Primary

Addresses

Primary practice location

4410 West 16TH Avenue
Suite 53
Hialeah, FL 33012-7194

Mailing address

4410 West 16TH Avenue
Suite 53
Hialeah, FL 33012-7194
Phone (305) 558-7437

Other identifiers 1

IdentifierTypeStateIssuer
390348600MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 1534FLMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1093713232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 WEST 16TH AVENUE",
            "address_2": "SUITE 53",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127194",
            "telephone_number": "305-558-7437",
            "fax_number": "305-558-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 WEST 16TH AVENUE",
            "address_2": "SUITE 53",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127194",
            "telephone_number": "305-558-7437",
            "fax_number": "305-558-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBER",
        "first_name": "LUIS",
        "middle_name": "BERNARDO",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 1534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390348600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.