Individual provider Active NPI

Manuel A Alzugaray, MD

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1417033754
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0019606 Issued in FL
Practice address
2340 Coral Way
Miami, FL 33145
Phone
(305) 858-7992
Fax
(305) 858-8741
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0019606 FL Primary

Addresses

Primary practice location

2340 Coral Way
Miami, FL 33145

Mailing address

2340 Coral Way
Miami, FL 33145
Phone (305) 858-7992

Other identifiers 1

IdentifierTypeStateIssuer
055409000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19606FLMDDentist
ME0019606FLMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1417033754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-858-7992",
            "fax_number": "305-858-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-858-7992",
            "fax_number": "305-858-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZUGARAY",
        "first_name": "MANUEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0019606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055409000",
            "state": "FL"
        }
    ],
    "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 Mar 11, 2014; 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.