Organization Active NPI

Suncoast Ur Inc

  • Medical Specialty Clinic/Center
  • Lutz, FL
National Provider Identifier
1750682944
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME0053353 Issued in FL
Legal business name
SUNCOAST UR INC
Practice address
18958 Dale Mabry Hwy N
Suite 102
Lutz, FL 33548-4911
Phone
(813) 839-7390
Fax
(813) 333-5994
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Arlene M Martinez-Delio, M.D.NPI 1215945365
Title
MGMR
Phone
(813) 839-7390

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
Medical Specialty Clinic/Center 261QM2500X ME0053353 FL Primary

Addresses

Primary practice location

18958 Dale Mabry Hwy N
Suite 102
Lutz, FL 33548-4911

Mailing address

18958 Dale Mabry Hwy N
Suite 102
Lutz, FL 33548-4911
Phone (813) 839-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110330000184 FL Part B Supplier - Clinic/Group Practice 9335322254 Receives reassigned benefits from 5 practitioners
Practice locations: Lutz, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1750682944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18958 DALE MABRY HWY N",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484911",
            "telephone_number": "813-839-7390",
            "fax_number": "813-333-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18958 DALE MABRY HWY N",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484911",
            "telephone_number": "813-839-7390",
            "fax_number": "813-333-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST UR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-DELIO",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "813-839-7390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0053353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.