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

Luis Alberto Penaranda Bolano, MD

Individual provider Rheumatology Physician · NPI 1568104024

Luis Alberto Penaranda Bolano, MD is a Rheumatology in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4725 N Federal Highway, Ft Lauderdale, FL 33308 — (954) 938-3359

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence ME172953 (FL)

Record details

NPI number1568104024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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