Individual provider Active NPI

Luis A Robaina, MD

  • General Practice Physician
  • Hollywood, FL
National Provider Identifier
1639334923
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN913 Issued in FL
Practice address
3816 Hollywood Blvd Ste 206
Hollywood, FL 33021-6750
Phone
(954) 404-8881
NPI assigned
Jul 25, 2008
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

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
General Practice Physician 208D00000X ACN913 FL Primary

Addresses

Primary practice location

3816 Hollywood Blvd Ste 206
Hollywood, FL 33021-6750

Mailing address

12999 SW 42ND St
Miramar, FL 33027-3176
Phone (954) 404-8881

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
I20180208002420 FL Practitioner - General Practice 1759641988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camillus Health Concern IncGroup PAC ID 4688575210, shared by 3 NPIs, 15 clinicians

Practice addresses (Care Compare)

336 NW 5TH St
Miami, FL 33128-1616
Phone (305) 477-4840

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solera Health Systems CurrentSince Jun 7, 2023 Accepting new patients
Solera Health Systems CurrentSince Jun 7, 2023 Accepting new patients
Broward Podiatry Associates, PA PastSince Nov 17, 2024 Accepting new patients

Locations

211 NE 89th St
El Portal, FL 33138
Phone (305) 576-5437

1205 SW 37th Ave
Miami, FL 33135
Phone (305) 448-8100

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1639334923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12999 SW 42ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273176",
            "telephone_number": "954-404-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 HOLLYWOOD BLVD STE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216750",
            "telephone_number": "954-404-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBAINA",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.