Active NPI
Maria Gracia Berru
- Physician Assistant
- Coral Gables, FL
National Provider Identifier
1487440863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9119875
- Practice address
- 333 Aragon Ave Apt 705
Coral Gables, FL 33134-5070 - Phone
- (407) 470-5318
- NPI assigned
- Apr 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9119875 | FL | Primary |
Addresses
Primary practice location
333 Aragon Ave Apt 705
Coral Gables, FL 33134-5070
Mailing address
333 Aragon Ave Apt 705
Coral Gables, FL 33134-5070
Phone (407) 470-5318
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9119875 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1487440863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ARAGON AVE APT 705",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345070",
"telephone_number": "407-470-5318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ARAGON AVE APT 705",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345070",
"telephone_number": "407-470-5318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRU",
"first_name": "MARIA GRACIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9119875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.