Gulfshore Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GULFSHORE UROLOGY LLC

Practice address

28930 Trails Edge Blvd
Suite 200
Bonita Springs, FL 34134-7582

Phone

(239) 333-3200

Fax

(239) 992-5785

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rolando Rivera, MD

Title

Shareholder

Phone

(239) 333-3200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan K Jay, MD

  • Urology Physician
  • Naples, FL
  • NPI 1225088305
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1306209200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28930 TRAILS EDGE BLVD",
            "address_2": "SUITE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347582",
            "telephone_number": "239-333-3200",
            "fax_number": "239-992-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28930 TRAILS EDGE BLVD",
            "address_2": "SUITE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347582",
            "telephone_number": "239-333-3200",
            "fax_number": "239-992-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSHORE UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "239-333-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Paul Guiliano, D.P.T.
• Guillermo Narvarte Inc
• Guillot Enterprises LLC
• Gulf Coast Certified Primary Care PA
• Gulfcoast Foot and Ankle Center
• Gulfside Chiropractic Health Center
• David Martin Gulotte, DMD
• Alberto Gutierrez Lopez, ARNP
• Lorena Gutierrez
• Guzman-Huesca & Perez LLC

• Urology Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.