Organization Active NPI

Luis C Gonzalez Serva MD PA

  • Urology Physician
  • Miami, FL
National Provider Identifier
1285867440
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LUIS C GONZALEZ SERVA MD PA
Practice address
3181 SW 22 Street
Suite 302
Miami, FL 33145
Phone
(786) 621-3897
Fax
(786) 975-2643
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Luis C Gonzalez Serva
Title
MD
Phone
(786) 621-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X FL Primary

Addresses

Primary practice location

3181 SW 22 Street
Suite 302
Miami, FL 33145

Mailing address

3181 SW 22 Street
Suite 302
Miami, FL 33145
Phone (786) 621-3897

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1285867440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW 22 STREET",
            "address_2": "SUITE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "786-621-3897",
            "fax_number": "786-975-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW 22 STREET",
            "address_2": "SUITE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "786-621-3897",
            "fax_number": "786-975-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS C GONZALEZ SERVA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SERVA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "786-621-3897"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.