DR. LUIS EDUARDO CARDENAS (NPI# 1912965930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912965930 |
| Entity Type | Individual |
| Full Name | DR. LUIS EDUARDO CARDENAS |
| Credential | DMD |
| Practice Address |
1 Sw 129th Ave Suite 400 Pembroke Pines FL 33027-1761 |
| Mailing Address |
5531 N University Dr Suite 104 Coral Springs FL 33067-4649 |
| Practice Telephone | 9544322080 |
| Practice Fax Number | 9544325560 |
| Mailing Telephone | 9542274892 |
| Mailing Fax Number | 9542274894 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN13740 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TAX ID | 59-2043705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538402672 | Luis Sergio Cardenas II | Nurse Practitioner | 16601 Huebner Road, San Antonio, TX 78248 | 2013-03-27 |
| 1609492685 | Luis Alberto Cardenas | Nurse Practitioner | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-06-24 |
| Street Address |
1 SW 129TH AVE SUITE 400 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215924709 | Edmund Alan Geller | Surgery | 1 Sw 129th Ave, Suite 200, Pembroke Pines, FL 33027-1761 | 2005-09-30 |
| 1801344692 | Kevin Verde | Physician Assistant | 1 Sw 129th Ave, Suite 201, Pembroke Pines, FL 33027-1761 | 2016-09-21 |
| 1285086009 | Russell Perry Kotch | Dentist | 1 Sw 129th Ave, Suite 302, Pembroke Pines, FL 33027-1761 | 2016-07-05 |
| 1649671744 | Cardiovascular Preventative Care, LLC | Internal Medicine | 1 Sw 129th Ave, Suite 105, Pembroke Pines, FL 33027-1761 | 2014-09-08 |
| 1588008536 | Michael F. Graham, Md LLC | Specialist | 1 Sw 129th Ave, 200, Pembroke Pines, FL 33027-1761 | 2013-04-22 |
| 1285077834 | Berkower Pain & Spine Rehabilitation, Inc | Physical Medicine & Rehabilitation | 1 Sw 129th Ave, Suite 305, Pembroke Pines, FL 33027-1761 | 2013-04-14 |
| 1639434236 | Maria R Cortti Ferrari | Internal Medicine | 1 Sw 129th Ave, Pembroke Pines, FL 33027-1761 | 2012-07-10 |
| 1083885727 | Edmund A Geller M D P A | Dermatology | 1 Sw 129th Ave, Suite 200, Pembroke Pines, FL 33027-1761 | 2008-03-21 |
| 1205014776 | Orthopaedic Associates of South Broward Pa | Podiatrist | 1 Sw 129th Ave, Suite 401, Pembroke Pines, FL 33027-1761 | 2008-02-06 |
| 1023213782 | Norman A Bloom Md Pa | Urology | 1 Sw 129th Ave, Suite 109, Pembroke Pines, FL 33027-1761 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023362811 | Eustorgio A Lopez LLC | Dentist | 1548 Nw 208th Way, Pembroke Pines, FL 33029-2306 | 2012-11-01 |
| 1114291036 | Alfredo Tendler Dmd, Pa | Dentist | 17901 Nw 5th St Suite #101, Pembroke Pines, FL 33029 | 2012-02-24 |
| 1487603635 | Alfredo E Tendler | Dentist | 17901 Nw 5th St Ste 101, Pembroke Pines, FL 33029-2810 | 2006-05-08 |
| 1487898698 | Paul Jeremy Seider | Dentist | 3157 N University Dr, Suite 104, Pembroke Pines, FL 33024-2258 | 2009-05-01 |
| 1568514099 | Michael Howard Sorgen | Dentist | 9050 Pines Blvd, Suite 420, Pembroke Pines, FL 33024-6415 | 2007-01-17 |
| 1003905530 | Jeffrey Alan Stevens | Dentist | 3157 N University Dr, Suite 104, Pembroke Pines, FL 33024 | 2006-10-12 |
| 1740379205 | Perry Stuart Seider | Dentist | 3157 N University Dr, Suite 104, Pembroke Pines, FL 33024 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.