Luis Duharte and Associates MD LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME95160 Issued in FL

Legal business name

LUIS DUHARTE AND ASSOCIATES MD LLC

Practice address

4409 Sun N Lake Blvd
Suite G
Sebring, FL 33872-2170

Phone

(863) 314-0004

Fax

(863) 314-0944

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Luis A Duharte Vidaurre, MDNPI 1225076797

Title

MGR

Phone

(863) 314-0004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Luis Angel Duharte Vidaurre, MD

  • Infectious Disease Physician
  • Bryan, TX
  • NPI 1225076797

  FL

  Medicare reassignment NPD Authorized official
• Bayani O Marasigan Jr., APRN

  • Family Nurse Practitioner
  • Sebring, FL
  • NPI 1417641911
  Medicare reassignment NPD

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1194159749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 SUN N LAKE BLVD",
            "address_2": "SUITE G",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722170",
            "telephone_number": "863-314-0004",
            "fax_number": "863-314-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 SUN N LAKE BLVD",
            "address_2": "SUITE G",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722170",
            "telephone_number": "863-314-0004",
            "fax_number": "863-314-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS DUHARTE AND ASSOCIATES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "DUHARTE VIDAURRE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "863-314-0004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME95160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LP Sebring LLC
• Luck Eye Clinic P a
• Mark Luckenback
• Olga M Luepschen, DPM
• Felipe Lugo, M.D.
• Slobodanka Lukanovic, MD
• Muhammad Maaz Bin Rehan, MD
• Janette Macasieb
• Mark Aris Macasieb, RPT
• Amanda Machin

• Infectious Disease Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.