Jorge L Serra MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JORGE L SERRA MD PA

Practice address

3501 Health Center Blvd
Suite 2190
Bonita Springs, FL 34135-8133

Phone

(239) 221-8475

Fax

(239) 221-8487

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Jorge L Serra, MDNPI 1841287208

Title

Owner

Phone

(239) 221-8475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge L Serra, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1841287208
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1821246489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "address_2": "SUITE 2190",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358133",
            "telephone_number": "239-221-8475",
            "fax_number": "239-221-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "address_2": "SUITE 2190",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358133",
            "telephone_number": "239-221-8475",
            "fax_number": "239-221-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE L SERRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-221-8475",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Johnson, M.ED.
• James Thomas Johnson, CRNA
• Paige Johnson, RPH
• Joint Replacement Institute LLC
• Jordania Psychiatry LLC
• Jorge R Guzman MD PA
• Sarika Joshi, BCBA
• Kathleen D Jouvenaz Cour, CRNA
• Joy of Balance, LLC
• Joy of Balance,LLC

• Internal Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.