Luis Manuel Vandama Brizuela, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007011 Issued in FL

Practice address

1500 S Hiatus Rd
Pembroke Pines, FL 33025-3617

Phone

(954) 438-4000

Fax

(786) 791-1270

NPI assigned

May 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pasteur & Wellmax Medical Centers LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1346060522
  Medicare reassignment NPD
• Pasteur & Wellmax Medical Centers LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • West Palm Beach, FL
  • NPI 1013737105
  NPD
• Pasteur & Wellmax Medical Centers LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1033930466
  NPD

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1104449644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253617",
            "telephone_number": "954-438-4000",
            "fax_number": "786-791-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253617",
            "telephone_number": "954-438-4000",
            "fax_number": "786-791-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAMA BRIZUELA",
        "first_name": "LUIS",
        "middle_name": "MANUEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valle Behavioral Services LLC
• Vanessa Valles, APRN, FNP-C
• Value Dental Centers, PA
• Ashley Jeannette Van Putten, D.O.
• Tracy Le Van
• Sarah Vanderbilt
• Ricardo Harry Vanegas, M.D.
• Vanessa Freitas, DDS P.a.
• Vanguard Medical Group, LLC
• Daniel Gideon Vanuno, MD

• Family Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.