Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Luis Antonio Moreno, MD

Individual provider Military Health Care Provider · NPI 1538372958

Dr. Luis Antonio Moreno, MD is a General Practice in Edgewater, Florida. Graduated from Texas a & M University System, Hsc, College of Medicine in 1993, 33 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2984 S Ridgewood Ave Ste 1
Edgewater, FL 32141-7515
Phone: (386) 428-4640
Fax: (386) 426-1409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME88233 (FL)
Military Health Care Provider Taxonomy 171000000X · Licence ME 88233 (FL)

Record details

NPI number1538372958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount