Organization Active NPI

Luis a. Bobeica, M.D., P.a.

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1801180708
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LUIS A. BOBEICA, M.D., P.A.
Practice address
16244 S Military TRL Ste 220
Delray Beach, FL 33484-6505
Phone
(561) 404-1022
Fax
(561) 404-1566
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Luis Antonio Bobeica, MDNPI 1548432388
Title
President
Phone
(561) 404-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

16244 S Military TRL Ste 220
Delray Beach, FL 33484-6505

Mailing address

16244 S Military TRL Ste 220
Delray Beach, FL 33484-6505
Phone (561) 404-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110809000354 FL Part B Supplier - Clinic/Group Practice 4981873999 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Boynton Beach, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

16244 S Military Trl
Ste 220
Delray Beach, FL 33484
Phone (561) 404-1022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1801180708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 220",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846505",
            "telephone_number": "561-404-1022",
            "fax_number": "561-404-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 220",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846505",
            "telephone_number": "561-404-1022",
            "fax_number": "561-404-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS A. BOBEICA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "BOBEICA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-404-1022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.