Individual provider Active NPI

Luis R. Rosas, M.D.

  • Surgery Physician
  • Indian Harbour Beach, FL
National Provider Identifier
1710923214
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME89566 Issued in FL
Practice address
2095 Highway A1A Apt 4704
Indian Harbour Beach, FL 32937-1803
Phone
(203) 545-4276
NPI assigned
Jun 22, 2006
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME89566 FL
Surgery Physician 208600000X ME89566 FL Primary

Addresses

Primary practice location

2095 Highway A1A Apt 4704
Indian Harbour Beach, FL 32937-1803

Mailing address

2095 Highway A1A Apt 4704
Indian Harbour Beach, FL 32937-1803
Phone (321) 271-7348

Other practice location 1

3601 SW 160th Ave
Suite 250
Miramar, FL 33027-6308
Phone (877) 866-7123

Other identifiers 2

IdentifierTypeStateIssuer
276905100MedicaidFL
91159OtherFLBCBSFL

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
I20070306000508 FL Practitioner - General SurgeryPractitioner - Peripheral Vascular Disease 7810099561 Reassigns benefits to 1 organization
Practice locations: Melbourne, FL

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Peripheral Vascular Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

445 Pineda CT
Melbourne, FL 32940-7555
Phone (321) 271-7348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22E3
Removal of skin lesions18E3
Skin biopsy200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (352) 514-8830

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

Organizations & group practices 3

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1710923214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 HIGHWAY A1A APT 4704",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329371803",
            "telephone_number": "321-271-7348",
            "fax_number": "877-409-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HIGHWAY A1A APT 4704",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329371803",
            "telephone_number": "203-545-4276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 SW 160th Ave",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330276308",
            "country_code": "US",
            "telephone_number": "877-866-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "LUIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89566",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME89566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276905100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "91159",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

Verify at the official NPI Registry.