Organization Active NPI

Luis G Geada MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1720479256
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51804 Issued in FL
Legal business name
LUIS G GEADA MD
Practice address
3821 SW 107TH Ave
Miami, FL 33165-3640
Phone
(305) 226-0817
Fax
(305) 226-2672
NPI assigned
Feb 5, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. Luis G Geada, MDNPI 1649236837
Title
Medical Doctor
Phone
(305) 226-0817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 51804 FL Primary

Addresses

Primary practice location

3821 SW 107TH Ave
Miami, FL 33165-3640

Mailing address

3821 SW 107TH Ave
Miami, FL 33165-3640
Phone (305) 226-0817

Other identifiers 1

IdentifierTypeStateIssuer
049511500MedicaidFL

National Provider Directory

National Provider Directory

Locations

3821 SW 107th Ave
Miami, FL 33165
Phone (305) 226-0817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1720479256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653640",
            "telephone_number": "305-226-0817",
            "fax_number": "305-226-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653640",
            "telephone_number": "305-226-0817",
            "fax_number": "305-226-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS G GEADA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "GEADA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-226-0817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "51804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049511500",
            "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 Feb 5, 2015; 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.