LUIS E RAEZ (NPI# 1922030071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922030071 |
Entity Type | Individual |
Full Name | LUIS E RAEZ |
Credential | MD |
Practice Address |
801 N Flamingo Rd Suite 11 Pembroke Pines FL 33028-1046 |
Practice Telephone | 9548446868 |
Practice Fax Number | 9544434747 |
Mailing Telephone | 9548446868 |
Mailing Fax Number | 9544434747 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-10-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME71292 | FL | Allopathic & Osteopathic Physicians |
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME71292 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 2540321-00 | 05 |
Street Address |
801 N FLAMINGO RD SUITE 11 |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33028-1046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831184738 | Daren Grosman | Internal Medicine | 801 N Flamingo Rd, Suite-11, Pembroke Pines, FL 33028-1019 | 2005-09-16 |
1649755752 | Robyn Lofton | Nurse Practitioner | 801 N Flamingo Rd, Pembroke Pines, FL 33028-1046 | 2018-09-25 |
1821578832 | Danelle Milu | Nurse Practitioner | 801 N Flamingo Rd, Pembroke Pines, FL 33028-1046 | 2018-08-19 |
1205234135 | Paola Izquierdo | Nurse Practitioner | 801 N Flamingo Rd, Ste 11, Pembroke Pines, FL 33028-1046 | 2014-12-09 |
1538424122 | Memorial Healthcare System | Clinic/Center | 801 N Flamingo Rd, Pembroke Pines, FL 33028-1046 | 2012-07-10 |
1467739847 | Oleine Jules | Nurse Practitioner | 801 N Flamingo Rd, Pembroke Pines, FL 33028-1046 | 2011-11-13 |
1730309725 | Rosanna Rodriguez | Physician Assistant | 801 N Flamingo Rd, Pembroke Pines, FL 33028-1046 | 2007-05-01 |
1326263351 | Annie Kuehnel | Nurse Practitioner | 801 N Flamingo Rd, Pembroke Pines, FL 33028-1046 | 2007-04-16 |
1245344191 | Colette Dulude-schietromo | Nurse Practitioner | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1019 | 2006-08-18 |
1790794261 | Pablo Ferraro | Internal Medicine | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028 | 2006-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
Find all providers in zip 33028 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053522862 | Shazia Zafar | Internal Medicine | 1000 N Hiatus Rd Ste 110, Pembroke Pines, FL 33026-3094 | 2007-05-24 |
1609093285 | Adriana Maria Milillo Naraine | Internal Medicine | 603 N Flamingo Rd Ste 157, Pembroke Pines, FL 33028 | 2007-04-18 |
1396784807 | Matthew Alan Taub | Internal Medicine | 12309 Pembroke Rd, Pembroke Pines, FL 33025-1723 | 2006-06-06 |
1588635668 | Neil Nagovski | Internal Medicine | 801 N. Flamingo Rd., Pembroke Pines, FL 33028 | 2006-01-27 |
1831184738 | Daren Grosman | Internal Medicine | 801 N Flamingo Rd, Suite-11, Pembroke Pines, FL 33028-1019 | 2005-09-16 |
1447244017 | Manuel A Martinez | Internal Medicine | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028-1046 | 2005-09-09 |
1194162263 | Alejandra Cristina Fuentes | Internal Medicine | 603 N Flamingo Rd Ste 157, Pembroke Pines, FL 33028-1047 | 2013-05-30 |
1528334414 | Shazia Zafar Md LLC | Internal Medicine | 1000 N Hiatus Rd Ste 110, Pembroke Pines, FL 33026-3094 | 2012-03-26 |
1053692335 | Fernando Manuel Vargas Madueno | Internal Medicine | 603 N Flamingo Rd Ste 151, Pembroke Pines, FL 33028-1021 | 2011-08-31 |
1447492913 | Yehuda E Deutsch | Internal Medicine | 603 N Flamingo Rd Ste 151, Pembroke Pines, FL 33028-1021 | 2009-03-30 |
Find all providers in PEMBROKE PINES |
City | PEMBROKE PINES |
Zip Code | 33028 |
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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.