MEDICARE: DR. LUIS A GINART M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	10144	PR
2	208D00000X	General Practice Physician	ACN133	FL

General Provider Information

NPI Number	:	1750338018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS A GINART M.D.

Provider Business Mailing Address
First Line	:	1630 SW 96TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7630
Country	:	US
Telephone Number	:	305-480-8614
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 S. CONGRESS AVENUE
Second Line	:	ANNEX BUILDING
City	:	WEST PALM BEAC
State	:	FL
Zip	:	33401-5107
Country	:	US
Telephone Number	:	561-274-3100
Fax Number	:	561-837-5332

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	10/28/2014

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