Individual provider Active NPI

Luis Del Rosario Cabral, MD

  • Rheumatology Physician
  • Melbourne, FL
National Provider Identifier
1912988668
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME88009 Issued in FL
Practice address
1535 W Nasa Blvd Ste 103
Building C
Melbourne, FL 32901-2635
Phone
(321) 837-0010
Fax
(321) 837-0040
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME88009 FL Primary

Addresses

Primary practice location

1535 W Nasa Blvd Ste 103
Building C
Melbourne, FL 32901-2635

Mailing address

1535 W Nasa Blvd Ste 103
Building C
Melbourne, FL 32901-2635
Phone (321) 837-0010

Other identifiers 2

IdentifierTypeStateIssuer
48142OtherBCBS FL
270094800MedicaidFL

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
I20040923000805 FL Practitioner - Rheumatology 5395713655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

1535 W Nasa Blvd
Suite 103
Melbourne, FL 32901-2635
Phone (321) 837-0010

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Brevard LLC CurrentSince Jul 1, 2009 Accepting new patients
Omni Healthcare, Inc. Rheumatology Past Accepting new patients

Locations

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

Interoperability endpoints

  • Direct secure messaging: ldelrosario71413@epicdirect.hf.org
  • Direct secure messaging: luisdelrosario@mab.medentdirect.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1912988668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W NASA BLVD STE 103",
            "address_2": "BUILDING C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012635",
            "telephone_number": "321-837-0010",
            "fax_number": "321-837-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W NASA BLVD STE 103",
            "address_2": "BUILDING C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012635",
            "telephone_number": "321-837-0010",
            "fax_number": "321-837-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO CABRAL",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME88009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "48142",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270094800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.