Individual provider Active NPI

Luis Felipe Verdecia Sr., MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1881630382
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME81400 Issued in FL
Practice address
5375 W 20TH Ave
Hialeah, FL 33012-2101
Phone
(305) 204-0333
Fax
(305) 359-7546
NPI assigned
Jun 22, 2006
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 ME81400 FL Primary

Addresses

Primary practice location

5375 W 20TH Ave
Hialeah, FL 33012-2101

Mailing address

860 NW 42ND Ave FL 5
Miami, FL 33126-4172
Phone (305) 204-0333

Other identifiers 1

IdentifierTypeStateIssuer
260500700MedicaidFL

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
I20040310000683 FL Practitioner - General PracticePractitioner - Family Practice 6800707829

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15117 SW 30TH St
Miami, FL 33185-4609

860 NW 42ND Ave
FL 5
Miami, FL 33126-4172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81400FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Univida Medical Center LLC General Practice CurrentSince Jul 28, 2025 Accepting new patients
Ada Medical Group Inc General Practice Past Accepting new patients
Joshua Medical Center Inc Past Accepting new patients
Power Medical Center, Inc General Practice Past Accepting new patients
Cano Health, LLC General Practice PastSince Jan 3, 2022 Accepting new patients
Friends Testing Facility Inc Past Accepting new patients

Locations

5375 W 20th Ave
Hialeah, FL 33012

15141 SW 42nd St
Miami, FL 33185

860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885

6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515

Organizations & group practices 6

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": "1754524800000",
    "number": "1881630382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264172",
            "telephone_number": "305-204-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122101",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDECIA",
        "first_name": "LUIS",
        "middle_name": "FELIPE",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME81400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260500700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.