MEDICARE: LUIS HINES & ASSOCIATES, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084P0804X	Child & Adolescent Psychiatry Physician
2	2084P0805X	Geriatric Psychiatry Physician
3	103TC0700X	Clinical Psychologist
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	2084P0800X	Psychiatry Physician
6	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558357475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUIS HINES & ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	2828 CORAL WAY STE 460
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3242
Country	:	US
Telephone Number	:	305-642-5255
Fax Number	:	305-642-8850

Provider Business Practice Location Address
First Line	:	2828 CORAL WAY STE 460
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3242
Country	:	US
Telephone Number	:	305-642-5255
Fax Number	:	305-642-8850

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	GWENDOLYN HINES
Credential	:
Telephone Number	:	305-642-5255

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	02/09/2026

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Directions to “LUIS HINES & ASSOCIATES, PA ” Practice Location

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