Luis A Logrono, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME67430 Issued in FL

Practice address

18964 Dale Mabry Hwy N
Suite 101
Lutz, FL 33548-4913

Phone

(813) 948-2107

Fax

(813) 948-2790

NPI assigned

Oct 21, 2005

Last updated

Apr 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NVS Management LLCGroup PAC ID 5193264711, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NVS Management LLC

  dba Physical Therapy Now Carrollwood

  • Clinic/Center
  • Tampa, FL
  • NPI 1285487959
  Medicare reassignment Care Compare group NPD
• Sunlake Pain Management, LLC

  dba Sunlake Medical Associates

  • Clinic/Center
  • Lutz, FL
  • NPI 1114153483
  Medicare reassignment NPD Authorized official
• Physician Partners Associated, LLC

  dba Advanced Relief Physicians Group

  • Pain Medicine Physician
  • Tampa, FL
  • NPI 1649807553
  Authorized official Same address or phone
• Hillsborough Medical Associates LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1568621019
  NPD (past)
• Physical Therapy Now Holdings, LLC

  dba Physical Therapy Now

  • Clinic/Center
  • Miami, FL
  • NPI 1598063521
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1700875739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18964 DALE MABRY HWY N",
            "address_2": "STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484913",
            "telephone_number": "813-948-2107",
            "fax_number": "813-948-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18964 DALE MABRY HWY N",
            "address_2": "SUITE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484913",
            "telephone_number": "813-948-2107",
            "fax_number": "813-948-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGRONO",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Lipski
• Lisa Phillips Arnp LLC
• Ian David Little
• Living Wellness, LLC
• Bradley Scott Logan, M.D.
• Michael Anthony Loguidice Sr., D.O.
• Lokahi Nutrition LLC
• London Collective LLC
• Marceine Long, NCC, LMHC, CAP
• Dino F Lontoc, P.T.

• Internal Medicine Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.