Individual provider Active NPI

Luis Francisco Caicedo Oquendo, M.D.

  • Pediatric Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1417129347
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME112035 Issued in FL
Practice address
3915 Biscayne Blvd
Suite 314
Miami, FL 33137-3779
Phone
(305) 571-8739
Fax
(305) 571-8706
NPI assigned
Apr 1, 2008
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X D0067301 MD
Pediatric Gastroenterology Physician 2080P0206X ME112035 FL Primary

Addresses

Primary practice location

3915 Biscayne Blvd
Suite 314
Miami, FL 33137-3779

Mailing address

3915 Biscayne Blvd
Suite 314
Miami, FL 33137-3779
Phone (305) 571-8739

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171121003027 FL Practitioner - Gastroenterology 5496012700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0067301MDMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicklaus Children's Pediatric Specialists, LLC CurrentSince Jul 7, 2017 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC Pediatric Gastroenterology CurrentSince Jul 7, 2017 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

3915 Biscayne Blvd
Ste 314
Miami, FL 33137
Phone (305) 571-8739

4308 Alton Rd
Ste 940
Miami Beach, FL 33140
Phone (305) 604-3216

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1417129347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 BISCAYNE BLVD",
            "address_2": "SUITE 314",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373779",
            "telephone_number": "305-571-8739",
            "fax_number": "305-571-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BISCAYNE BLVD",
            "address_2": "SUITE 314",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373779",
            "telephone_number": "305-571-8739",
            "fax_number": "305-571-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAICEDO OQUENDO",
        "first_name": "LUIS",
        "middle_name": "FRANCISCO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MD",
            "license": "D0067301",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME112035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.