Individual provider Active NPI

Luis Antonio Vinas, MD

  • Plastic Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1871576579
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME57391 Issued in FL
Practice address
550 S Quadrille Blvd
Ste 100
West Palm Beach, FL 33401-5855
Phone
(561) 655-3305
Fax
(561) 655-3951
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME57391 FL Primary

Addresses

Primary practice location

550 S Quadrille Blvd
Ste 100
West Palm Beach, FL 33401-5855

Mailing address

550 S Quadrille Blvd
Ste 100
West Palm Beach, FL 33401-5855
Phone (561) 655-3305

Other identifiers 1

IdentifierTypeStateIssuer
063884600MedicaidFL

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
I20090706000595 FL Practitioner - Plastic and Reconstructive Surgery 6204926413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University Central del Caribe Escuela de Medicina, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 SE Goldtree Dr
Suite 103
Port Saint Lucie, FL 34952-7584
Phone (772) 335-1500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
L a Vinas MD PA Plastic Surgery CurrentSince May 1, 2009 Accepting new patients
Specialized Outpatient Surgery Center for Children and Adults Past Accepting new patients

Locations

202 NE 2nd St
Ste 2
Okeechobee, FL 34972
Phone (561) 818-6479

1401 SE Goldtree Dr
Ste 103
Port St Lucie, FL 34952
Phone (239) 238-2580

580 Village Blvd
Ste 135
West Palm Beach, FL 33409
Phone (561) 355-3305

550 S Quadrille Blvd
Ste 100
West Palm Beach, FL 33401
Phone (561) 655-3305

Organizations & group practices 2

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871576579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S QUADRILLE BLVD",
            "address_2": "STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015855",
            "telephone_number": "561-655-3305",
            "fax_number": "561-655-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S QUADRILLE BLVD",
            "address_2": "STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015855",
            "telephone_number": "561-655-3305",
            "fax_number": "561-655-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINAS",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME57391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063884600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.