Doctor profile · Federal record
Dr. Luis Penaranda Bolano, M.D.
Rheumatology Physician (CMS: Rheumatology) · Jacksonville, FL
- NPI 1568104024
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4500 San Pablo RD S
Jacksonville, FL 322241865
(904) 953-2000 - Additional location
-
4725 N Federal Highway
Ft Lauderdale, FL 33308
(954) 938-3359
fax (954) 492-5790 - Mailing address
-
4725 N Federal Highway
Ft Lauderdale, FL 33308
Credentials & registration
- NPI registered
- April 2022 — 4 yrs on file
- Profile last updated
- July 1, 2025
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207RR0500X — NUCC code
- State license (1)
- Florida #ME172953
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568104024. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$134
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genzyme Corporation | 1 | $119.71 | |
| Ucb, INC. | 1 | $14.49 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
39
Patients
22
Total drug cost
$567
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 20 | 11 | $300 |
| Atorvastatin Calcium | Generic | 19 | 11 | $268 |
Hospital affiliations
Frequently asked questions
What is Dr. Luis Penaranda Bolano's medical specialty?
Dr. Luis Penaranda Bolano practices Rheumatology Physician in Jacksonville, FL.
Where does Dr. Luis Penaranda Bolano practice?
Dr. Luis Penaranda Bolano practices at 4500 San Pablo RD S, Jacksonville, FL 322241865. Office phone: 9049532000.
What is Dr. Luis Penaranda Bolano's NPI?
Dr. Luis Penaranda Bolano's National Provider Identifier (NPI) is 1568104024, issued by NPPES.
Does Dr. Luis Penaranda Bolano accept Medicare assignment?
Yes. Dr. Luis Penaranda Bolano accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.