Organization Active NPI

Alejandro J. Gruneiro M.D. P.a.

  • Specialist
  • Port Charlotte, FL
National Provider Identifier
1033441001
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME97870 Issued in FL
Legal business name
ALEJANDRO J. GRUNEIRO M.D. P.A.
Practice address
18308 Murdock Cir
109
Port Charlotte, FL 33948-1008
Phone
(941) 625-3411
Fax
(941) 625-1792
NPI assigned
Feb 2, 2010
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alejandro J Gruneiro, M.D.NPI 1588633549
Title
Owner
Phone
(941) 625-3411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME97870 FL Primary

Addresses

Primary practice location

18308 Murdock Cir
109
Port Charlotte, FL 33948-1008

Mailing address

18308 Murdock Cir
109
Port Charlotte, FL 33948-1008
Phone (941) 625-3411

Other identifiers 1

IdentifierTypeStateIssuer
277603100MedicaidFL

National Provider Directory

National Provider Directory

Locations

18308 Murdock Cir
Unit 109
Port Charlotte, FL 33948
Phone (941) 505-6162

18350 Murdock Cir
Unit 101
Pt Charlotte, FL 33948
Phone (941) 623-9330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1033441001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18308 MURDOCK CIR",
            "address_2": "109",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481008",
            "telephone_number": "941-625-3411",
            "fax_number": "941-625-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18308 MURDOCK CIR",
            "address_2": "109",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481008",
            "telephone_number": "941-625-3411",
            "fax_number": "941-625-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO J. GRUNEIRO M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "GRUNEIRO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME97870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277603100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.