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LUNA NUEVA HEALTH CENTER LLC
NPI 1114808995
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tampa, FL

Active since September 09, 2025
13115 W LINEBAUGH AVE STE 102, TAMPA, FL 33626(813) 475-6200(813) 475-6202 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2026, Sep 9, 2025 (2 updates tracked since 2025).

About Luna Nueva Health Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUNA NUEVA HEALTH CENTER LLC (NPI 1114808995) is a healthcare organization registered as a mental health (including community mental health center) in Tampa, Florida and active in the NPI registry since September 2025. The organization lists Antonio J Martinez, Owner, as its authorized official.

NPPES Registry Identity

NPI1114808995
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLUNA NUEVA HEALTH CENTER LLC
Location Address13115 W LINEBAUGH AVE STE 102Tampa, FL 33626-4493
Mailing Address13115 W Linebaugh Ave Ste 102Tampa, FL 33626-4493 · (813) 475-6200 · Fax (813) 475-6202
Phone(813) 475-6200
Fax(813) 475-6202
Organization SubpartNo
Authorized OfficialAntonio J MartinezOwner · (813) 475-6200
Enumeration DateSeptember 9, 2025
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1114808995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
13115 W LINEBAUGH AVE STE 102, Tampa, FL 33626
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luna Nueva Health Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Luna Nueva Health Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Syed Hasan, M.D.
Internal Medicine
NPI 1790895035
2120 MARINER BLVD
Spring Hill, FL 34609
(352) 666-1703
✔ PECOS29 mi
Lucille Fernandez, LCSW
Clinical Social Worker
NPI 1154566859
371 6TH AVE W
Bradenton, FL 34205
(941) 782-4150
✔ PECOS39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luna Nueva Health Center LLC's NPI number?

The NPI number for Luna Nueva Health Center LLC is 1114808995. It was assigned to this organization in the NPPES registry on September 9, 2025.

Where is Luna Nueva Health Center LLC located?

Luna Nueva Health Center LLC is located at 13115 W Linebaugh Ave Ste 102, Tampa, FL 33626. The listed phone number is (813) 475-6200.

What is Luna Nueva Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Luna Nueva Health Center LLC enrolled in Medicare?

Yes. Luna Nueva Health Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luna Nueva Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Luna Nueva Health Center LLC, in Clinical Social Worker and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Luna Nueva Health Center LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.