Organization Active NPI

Center for Urogynecology & Advanced Laparosocpic Surgery, P.a.

  • Specialist
  • South Miami, FL
National Provider Identifier
1780794040
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME75777 Issued in FL
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

Updated by the provider on Mar 18, 2009

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
270645800MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.