Active NPI
Luis F Maggiolo, M.D
- Urology Physician
- Miami, FL
National Provider Identifier
1629069950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME34116
- Practice address
- 9090 SW 87TH CT
Miami, FL 33176-2315 - Phone
- (305) 444-2858
- Fax
- (305) 448-3346
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME34116 | FL | Primary |
Addresses
Primary practice location
9090 SW 87TH CT
Miami, FL 33176-2315
Mailing address
9090 SW 87TH CT
Miami, FL 33176-2315
Phone (305) 444-2858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066439100 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME34116 | FL | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1629069950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9090 SW 87TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762315",
"telephone_number": "305-444-2858",
"fax_number": "305-448-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 SW 87TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762315",
"telephone_number": "305-444-2858",
"fax_number": "305-448-3346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIOLO",
"first_name": "LUIS",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME34116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066439100",
"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 Dec 3, 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.