Healthcare Provider Details

I. General information

NPI: 1558357475
Provider Name (Legal Business Name): LUIS HINES & ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 CORAL WAY STE 460
CORAL GABLES FL
33145-3242
US

IV. Provider business mailing address

2828 CORAL WAY STE 460
CORAL GABLES FL
33145-3242
US

V. Phone/Fax

Practice location:
  • Phone: 305-642-5255
  • Fax: 305-642-8850
Mailing address:
  • Phone: 305-642-5255
  • Fax: 305-642-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: GWENDOLYN HINES
Title or Position: CEO/OWNER
Credential:
Phone: 305-642-5255