Active NPI
Luis E Grau MD PA
- General Practice Physician
- Hialeah, FL
National Provider Identifier
1821280462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME90687
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47356 | Other | FL | BCBS |
| K6286 | Other | FL | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.