MEDICARE: LUIS ANTONIO VINAS MD

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	208200000X	Plastic Surgery Physician	ME57391	FL

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	:	1871576579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS ANTONIO VINAS MD

Provider Business Mailing Address
First Line	:	550 S QUADRILLE BLVD
Second Line	:	STE 100
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5855
Country	:	US
Telephone Number	:	561-655-3305
Fax Number	:	561-655-3951

Provider Business Practice Location Address
First Line	:	550 S QUADRILLE BLVD
Second Line	:	STE 100
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5855
Country	:	US
Telephone Number	:	561-655-3305
Fax Number	:	561-655-3951

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

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	03/07/2023

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Directions to “ LUIS ANTONIO VINAS MD” Practice Location

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