Individual provider Active NPI

Jorge Luis Luaces, MD

  • Pediatrics Physician
  • West Miami, FL
National Provider Identifier
1437195757
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME92704 Issued in FL
Practice address
6222 SW 8TH St
West Miami, FL 33144-4810
Phone
(305) 221-5115
Fax
(305) 221-5282
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME92704 FL Primary

Addresses

Primary practice location

6222 SW 8TH St
West Miami, FL 33144-4810

Mailing address

6222 SW 8TH St
West Miami, FL 33144-4810
Phone (305) 221-5115

Other identifiers 1

IdentifierTypeStateIssuer
28816OtherBCBS

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
I20150721001679 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2466765326

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Pediatric Care LLC PastSince Oct 1, 2024 Accepting new patients
South Florida Pediatric Group Inc Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1437195757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444810",
            "telephone_number": "305-221-5115",
            "fax_number": "305-221-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444810",
            "telephone_number": "305-221-5115",
            "fax_number": "305-221-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUACES",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME92704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

Verify at the official NPI Registry.