Basic Information
| Provider Information | |||||||||
| NPI: | 1750338018 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GINART | ||||||||
| FirstName: | LUIS | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1630 SW 96TH AVE | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331657630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054808614 | ||||||||
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| Practice Location | |||||||||
| Address1: | 345 S. CONGRESS AVENUE | ||||||||
| Address2: | ANNEX BUILDING | ||||||||
| City: | WEST PALM BEAC | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334015107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612743100 | ||||||||
| FaxNumber: | 5618375332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2006 | ||||||||
| LastUpdateDate: | 10/28/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 10144 | PR | N | Allopathic & Osteopathic Physicians | General Practice | 208D00000X | ACN133 | FL | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.