Organization Active NPI

Luis E Grau MD PA

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1821280462
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90687 Issued in FL
Legal business name
LUIS E GRAU MD PA
Practice address
900 W 49TH St
Suite 304
Hialeah, FL 33012-3402
Phone
(305) 823-3131
Fax
(305) 558-4267
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Luis E Grau, M.D.,
Title
Director
Phone
(305) 823-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME90687 FL Primary

Addresses

Primary practice location

900 W 49TH St
Suite 304
Hialeah, FL 33012-3402

Mailing address

900 W 49TH St
Suite 304
Hialeah, FL 33012-3402
Phone (305) 823-3131

Other identifiers 2

IdentifierTypeStateIssuer
47356OtherFLBCBS
K6286OtherFLMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

729 E 49th St
Hialeah, FL 33013
Phone (305) 688-0022

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1821280462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "305-823-3131",
            "fax_number": "305-558-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "305-823-3131",
            "fax_number": "305-558-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS E GRAU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "GRAU",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-823-3131",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47356",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K6286",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.