Individual provider Active NPI

Luis Alberto Cardenas, APRN

  • Family Nurse Practitioner
  • Florida City, FL
National Provider Identifier
1609492685
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007762 Issued in FL
Practice address
139 N Redland Rd Ste 5
Florida City, FL 33034-3105
Phone
(305) 269-7887
Fax
(786) 650-2968
NPI assigned
Jun 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007762 FL Primary

Addresses

Primary practice location

139 N Redland Rd Ste 5
Florida City, FL 33034-3105

Mailing address

6440 SW 39TH Ter
Miami, FL 33155-4820
Phone (305) 879-6834

Other practice location 1

10920 W Flagler St Ste 201
Miami, FL 33174-1243
Phone (786) 623-3915

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217002514 FL Practitioner - Nurse Practitioner 4688086580 Reassigns benefits to 2 organizations
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy Medical Inc CurrentSince Jul 2, 2025 Accepting new patients
Universal Mental Health Inc CurrentSince Dec 20, 2024 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Community Health and Wellness Center of Miami Inc CurrentSince Oct 1, 2021 Accepting new patients
Vision Doctors Group LLC PastSince Nov 17, 2024 Accepting new patients
South Florida Internists Group PA PastSince Jun 1, 2021 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

139 N Redland Rd
Ste 5
Homestead, FL 33034
Phone (786) 332-5250

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

10920 W Flagler St
Ste 201
Miami, FL 33174
Phone (786) 332-5250

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

759 NW 22nd Ave
Miami, FL 33125
Phone (305) 541-5245

Organizations & group practices 6

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1609492685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SW 39TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554820",
            "telephone_number": "305-879-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N REDLAND RD STE 5",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343105",
            "telephone_number": "305-269-7887",
            "fax_number": "786-650-2968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10920 W Flagler St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331741243",
            "country_code": "US",
            "telephone_number": "786-623-3915",
            "fax_number": "786-623-3916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

Verify at the official NPI Registry.