Luis J Mesa MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LUIS J MESA MD PA

Practice address

1250 E Hallandale Beach Blvd # 205a
Hallandale Beach, FL 33009-4634

Phone

(954) 544-5979

Fax

(954) 404-7296

NPI assigned

Oct 21, 2022

Organization subpart

No

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

Authorized official

Name

Luis J Mesa Correa, MD

Title

Owner

Phone

(305) 318-7056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Javier Mesa, MD

  • Specialist
  • Hallandale Beach, FL
  • NPI 1649292707
  Medicare reassignment NPD

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1154048049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD # 205A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-544-5979",
            "fax_number": "954-404-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD # 205A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-544-5979",
            "fax_number": "954-404-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS J MESA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "MESA CORREA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-318-7056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ainel Loy Diaz, MD
• LTS Medical Services LLC
• Christopher Lucas
• Ana Luchtan, MH
• Gilliam Lugo-Pages
• Eduardo Luis
• Fritz Gerald Luma, APRN
• Aida Lupu, DMD
• Inna Lvovsky, PT
• Lymphatic Touch

• Internal Medicine Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.