Organization Active NPI

Luis Plasencia M.D.

  • Preferred Provider Organization
  • Miami, FL
National Provider Identifier
1245695170
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
ME0045681 Issued in FL
Legal business name
LUIS PLASENCIA M.D.
Practice address
8741 Coral Way
Miami, FL 33165-2005
Phone
(305) 226-7800
Fax
(305) 551-2953
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Dr. Luis Plasencia, M.D.NPI 1265415939
Title
Physician/ Owner
Phone
(305) 554-9568

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
Preferred Provider Organization 305R00000X ME0045681 FL Primary

Addresses

Primary practice location

8741 Coral Way
Miami, FL 33165-2005

Mailing address

8741 Coral Way
Miami, FL 33165-2005
Phone (305) 226-7800

Other identifiers 2

IdentifierTypeStateIssuer
1265415939OtherFLNPI
043526100MedicaidFL

National Provider Directory

National Provider Directory

Locations

8741 SW 24th St
Miami, FL 33165
Phone (305) 226-7800

Practitioners & affiliated clinicians

Practitioners 1

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": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1245695170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652005",
            "telephone_number": "305-226-7800",
            "fax_number": "305-551-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652005",
            "telephone_number": "305-226-7800",
            "fax_number": "305-551-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS PLASENCIA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "PLASENCIA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "305-554-9568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME0045681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265415939",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043526100",
            "state": "FL"
        }
    ],
    "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 Dec 18, 2015; 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.