NPIMap

Organization Active NPI

Raul Sierra MD PA

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1255642989
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME24563 Issued in FL
Legal business name
RAUL SIERRA MD PA
Practice address
4129 N Armenia Ave
Suite B
Tampa, FL 33607-6436
Phone
(813) 877-7526
Fax
(813) 873-8469
NPI assigned
Jun 28, 2010
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Mrs. Martha Sierra
Title
Manager
Phone
(813) 877-7526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME24563 FL Primary

Addresses

Primary practice location

4129 N Armenia Ave
Suite B
Tampa, FL 33607-6436

Mailing address

4129 N Armenia Ave
Suite B
Tampa, FL 33607-6436
Phone (813) 877-7526

National Provider Directory

National Provider Directory

Locations

4129 N Armenia Ave
Tampa, FL 33607
Phone (813) 870-3342

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1255642989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-877-7526",
            "fax_number": "813-873-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-877-7526",
            "fax_number": "813-873-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL SIERRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-877-7526",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME24563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.