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  7. NPI Record 1548823453

LUIS A. ROBAINA MD PA
Complete NPI Record 1548823453
General Practice in Hollywood, FL

NPI Status: Active since April 16, 2019

Contact Information

3816 HOLLYWOOD BLVD STE 206
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 404-8881
Fax: (954) 738-7535

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Business Practice Location Address Fax Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Title or Position
  24. Authorized Official Telephone Number
  25. Healthcare Provider Taxonomy Code 1
  26. Healthcare Provider Primary Taxonomy Switch 1
  27. Is Organization Subpart
  28. Authorized Official Name Prefix Text
  29. Authorized Official Credential Text
  30. Healthcare Provider Taxonomy Group 1
  31. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1548823453. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1548823453
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Entity Type Code: 2
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Employer Identification Number EIN: UNAVAIL
The city name in the location address of the provider being identified.
The State code in the location of the provider being identified.
Provider First Line Business Mailing Address: 3816 HOLLYWOOD BLVD STE 206
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address City Name: HOLLYWOOD
The country code in the location address of the provider being identified.
Provider Business Mailing Address State Name: FL
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 330216750
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 9544048881
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 9547387535
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Practice Location Address: 3816 HOLLYWOOD BLVD STE 206
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address City Name: HOLLYWOOD
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address State Name: FL
Provider Business Practice Location Address Postal Code: 330216750
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Provider Business Practice Location Address Country Code If outside U S : US
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Provider Business Practice Location Address Telephone Number: 9544048881
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 9547387535
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/16/2019
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 11/15/2024
The date that a record was last updated or changed.
Authorized Official Last Name: ROBAINA
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: LUIS
The first name of the authorized official.
Authorized Official Title or Position: PRESIDENT
The title or position of the authorized official.
Authorized Official Telephone Number: 9544048881
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 208D00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N
Authorized Official Name Prefix Text: DR.
Authorized Official Credential Text: MD
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
NPI Certification Date: 11/15/2024