Luis Angel Bergolla, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS41487 Issued in FL

Practice address

5850 NW 183Rd St
Hialeah, FL 33015-6023

Phone

(305) 819-0705

Fax

(305) 819-0174

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356426217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14117 SW 51ST CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275971",
            "telephone_number": "305-816-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 NW 183RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156023",
            "telephone_number": "305-819-0705",
            "fax_number": "305-819-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGOLLA",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darian Benotmane, OTR
• Onelia Beovides Sanchez
• Liz Berdayes
• Celia Bereau Quevedo
• Johannys Bergolla
• Pedro F. Bermann, M.D.
• Beatriz Bermejo Guerra, SLP
• Berkis Bermudez Delgado
• Bermudez Home Care Services LLC
• Rachel De la Caridad Bermudez Marrero

• Pharmacist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.