Organization Active NPI

Carlos Ganuza, M. D. , P. a.

  • Specialist
  • New Port Richey, FL
National Provider Identifier
1821203662
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME29235 Issued in FL
Legal business name
CARLOS GANUZA, M. D. , P. A.
Practice address
2154 Duck Slough Blvd
102
New Port Richey, FL 34655-3933
Phone
(727) 375-7578
Fax
(727) 375-7568
NPI assigned
May 14, 2007
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Carlos Ganuza, M.D
Title
Owner
Phone
(727) 375-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME29235 FL Primary

Addresses

Primary practice location

2154 Duck Slough Blvd
102
New Port Richey, FL 34655-3933

Mailing address

2154 Duck Slough Blvd
Suite102
New Port Richey, FL 34655
Phone (727) 375-7578

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1821203662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 DUCK SLOUGH BLVD",
            "address_2": "SUITE102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-375-7578",
            "fax_number": "727-375-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 DUCK SLOUGH BLVD",
            "address_2": "102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553933",
            "telephone_number": "727-375-7578",
            "fax_number": "727-375-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS GANUZA, M. D. , P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "GANUZA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-375-7578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME29235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.