Individual provider Active NPI

Luis Anibal Queral, MD

  • Vascular Surgery Physician
  • Hialeah, FL
National Provider Identifier
1780652727
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME 118298 Issued in FL
Practice address
7150 W 20TH Ave
Suite 501
Hialeah, FL 33016-5529
Phone
(305) 821-3999
Fax
(305) 821-3666
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME 118298 FL Primary
Vascular Surgery Physician 2086S0129X DOO17095 MD

Addresses

Primary practice location

7150 W 20TH Ave
Suite 501
Hialeah, FL 33016-5529

Mailing address

911 Malaga Ave
Coral Gables, FL 33134-6414
Phone (410) 440-0454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000906 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 8527059153 Reassigns benefits to 3 organizations
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 118298FLMDVascular Surgery Physician
DOO17095MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Medical Clinic LLC CurrentSince Dec 11, 2025 Accepting new patients
Juan C Sarol MD PA CurrentSince Sep 18, 2014 Accepting new patients
Union Memorial Hospital Past Accepting new patients
Maryland Diagnostic Services, Inc. Past Accepting new patients
Alpha Diagnostic Services, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Vascular Specialty Services, LLC Vascular Surgery Past Accepting new patients

Locations

85 E 49th St
Hialeah, FL 33013
Phone (786) 313-3640

87 E 49th St
Hialeah, FL 33013
Phone (305) 570-2225

959 SW 122nd Ave
Miami, FL 33184
Phone (786) 390-9291

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1780652727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MALAGA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346414",
            "telephone_number": "410-440-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE",
            "address_2": "SUITE 501",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165529",
            "telephone_number": "305-821-3999",
            "fax_number": "305-821-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERAL",
        "first_name": "LUIS",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME 118298",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "DOO17095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.