Active NPI
Romualdo J. Segurola, Jr. M.D., P.a.
- Interventional Cardiology Physician
- Doral, FL
National Provider Identifier
1477629707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- ROMUALDO J. SEGUROLA, JR. M.D., P.A.
- Practice address
- 3650 NW 82ND Ave
Suite 208
Doral, FL 33166-6658 - Phone
- (305) 406-3596
- Fax
- (305) 406-3599
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Engen
- Title
- Administrator
- Phone
- (612) 669-7173
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X |
Addresses
Primary practice location
3650 NW 82ND Ave
Suite 208
Doral, FL 33166-6658
Mailing address
3650 NW 82ND Ave
Suite 208
Doral, FL 33166-6658
Phone (305) 406-3596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277084900 | Medicaid | FL |
Other names 1
- South Florida Heart and Lung Institute
National Provider Directory
National Provider DirectoryLocations
3650 NW 82nd Ave
Ste 208
Doral, FL 33166
Phone (305) 406-3596
400 W 41st St
Ste 310
Miami Beach, FL 33140
Phone (305) 538-6986
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Fort Lauderdale, FL
- NPI 1942335492
-
- Vascular & Interventional Radiology Physician
- Miami, FL
- NPI 1669708509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569456000000",
"number": "1477629707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 NW 82ND AVE",
"address_2": "SUITE 208",
"city": "DORAL",
"state": "FL",
"postal_code": "331666658",
"telephone_number": "305-406-3596",
"fax_number": "305-406-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 NW 82ND AVE",
"address_2": "SUITE 208",
"city": "DORAL",
"state": "FL",
"postal_code": "331666658",
"telephone_number": "305-406-3596",
"fax_number": "305-406-3599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMUALDO J. SEGUROLA, JR. M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2019-09-26",
"status": "A",
"authorized_official_last_name": "ENGEN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "612-669-7173"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277084900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Florida Heart and Lung Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "South Florida Heart and Lung Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.