Renato Segura, MD, LAC.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME135224 Issued in FL

Practice address

3990 Sheridan St
Suite 101
Hollywood, FL 33021-3661

Phone

(954) 987-4455

Fax

(954) 964-7342

NPI assigned

Feb 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Emerald Hills Medical Center IncGroup PAC ID 4789607813, 3 clinicians

Sunset Strip Medical Center IncGroup PAC ID 5395635684, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Emerald Hills Medical Center Inc

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1407864481
  Medicare reassignment Care Compare group NPD
• MD Healthcare Boca Raton LLC

  • General Practice Physician
  • Boca Raton, FL
  • NPI 1144979949
  Medicare reassignment NPD Authorized official
• Sunset Strip Medical Center, Inc

  • Internal Medicine Physician
  • Sunrise, FL
  • NPI 1881607562
  Medicare reassignment Care Compare group NPD
• Larkin Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hialeah, FL
  • NPI 1831558626
  Medicare reassignment NPD
• Oracle Health Systems Inc

  • Emergency Medicine Physician
  • South Miami, FL
  • NPI 1235288291
  Medicare reassignment NPD
• I Care Clinic LLC

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1407009145
  NPD (past)
• MD Healthcare Network LLC

  • Family Medicine Physician
  • Weston, FL
  • NPI 1962892141
  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1356663306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST",
            "address_2": "SUITE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213661",
            "telephone_number": "954-987-4455",
            "fax_number": "954-964-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST",
            "address_2": "SUITE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213661",
            "telephone_number": "954-987-4455",
            "fax_number": "954-964-7342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4269 NW 88th Ave",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516044",
            "country_code": "US",
            "telephone_number": "954-578-0200 x1",
            "fax_number": "954-578-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-284-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14055 West Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "33161",
            "country_code": "US",
            "telephone_number": "786-452-0195",
            "fax_number": "305-456-0195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "RENATO",
        "name_prefix": "Dr.",
        "credential": "MD, LAC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2554",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "018321",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "12848-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME135224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FS584A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Seclow, MSOT RL
• Jennifer Allison Sedor, M.D.
• Sedulous, LLC
• Marcia Scott Seeberg, L.M.H.C.
• Juan Luis Segura, ARNP
• Kayla Ann Seibold, APRN
• Seider & Stevens PA
• Stephanie Seidler, RN
• Amy L Seinfeld, DO
• Syndi Anne Seinfeld, DO

• General Practice Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.