Organization Active NPI

Luis del Prado MD PA Corp

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1235567744
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME116945 Issued in FL
Legal business name
LUIS DEL PRADO MD PA CORP
Practice address
420 SW 133Rd PL
Miami, FL 33184-1131
Phone
(786) 541-4727
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Luis Del Prado, MDNPI 1619230612
Title
President
Phone
(786) 228-9926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME116945 FL Primary

Addresses

Primary practice location

420 SW 133Rd PL
Miami, FL 33184-1131

Mailing address

420 SW 133Rd PL
Miami, FL 33184-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140102001385 FL Part B Supplier - Clinic/Group Practice 9436387198 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL; Hialeah Gardens, FL; Hialeah, FL; Coral Gables, FL

National Provider Directory

National Provider Directory
Tax ID family
Luis del Prado MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

9865 SW 40th St
Miami, FL 33165
Phone (305) 223-4685

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1235567744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SW 133RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SW 133RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841131",
            "telephone_number": "786-541-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS DEL PRADO MD PA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "DEL PRADO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-228-9926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME116945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.