Active NPI
Center for Urogynecology & Advanced Laparosocpic Surgery, P.a.
- Specialist
- South Miami, FL
National Provider Identifier
1780794040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME75777
- Legal business name
- CENTER FOR UROGYNECOLOGY & ADVANCED LAPAROSOCPIC SURGERY, P.A.
- Practice address
- 7000 SW 62ND Ave
Suite 545-a
South Miami, FL 33143-4724 - Phone
- (305) 665-2060
- Fax
- (305) 665-4090
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael J Perez, M.D.
- Title
- President
- Phone
- (305) 665-2060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME75777 | FL | Primary |
Addresses
Primary practice location
7000 SW 62ND Ave
Suite 545-a
South Miami, FL 33143-4724
Mailing address
7000 SW 62ND Ave
Suite 545-a
South Miami, FL 33143-4724
Phone (305) 665-2060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270645800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
7000 SW 62nd Ave
Ste 545A
South Miami, FL 33143
Phone (305) 662-9320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237334400000",
"number": "1780794040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 SW 62ND AVE",
"address_2": "SUITE 545-A",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434724",
"telephone_number": "305-665-2060",
"fax_number": "305-665-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SW 62ND AVE",
"address_2": "SUITE 545-A",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434724",
"telephone_number": "305-665-2060",
"fax_number": "305-665-4090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR UROGYNECOLOGY & ADVANCED LAPAROSOCPIC SURGERY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2009-03-18",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "RAFAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-665-2060",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME75777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270645800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.