Individual provider Active NPI

Luis A Vergara Villareal, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1932893302
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1560 Issued in FL
Practice address
434 SW 12TH Ave
Miami, FL 33130-2440
Phone
(305) 266-2929
NPI assigned
Jun 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1560 FL Primary
General Practice Physician 208D00000X 22927 PR

Addresses

Primary practice location

434 SW 12TH Ave
Miami, FL 33130-2440

Mailing address

1807 SW 153Rd Pass
Miami, FL 33185-5722
Phone (786) 260-9845

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
I20231012002928 FL Practitioner - General Practice 7719332956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1560FLMDGeneral Practice Physician
22927PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of South Florida, Inc. General Practice CurrentSince Sep 18, 2023 Accepting new patients
American Care of South Florida, Inc. General Practice CurrentSince Sep 18, 2023 Accepting new patients
Centro Ceski C S P PastSince Jun 1, 2023 Accepting new patients
American Care of North Florida, Inc General Practice Past Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

11255 SW 211th St
Miami, FL 33189
Phone (305) 254-7576

1600 W Oakland Park Blvd
Oakland Park, FL 33311
Phone (754) 200-8248

Organizations & group practices 4

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1932893302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SW 153RD PASS",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855722",
            "telephone_number": "786-260-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302440",
            "telephone_number": "305-266-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA VILLAREAL",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1560",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.