Active NPI
Luis E Sala, MD
- Surgery Physician
- Marathon, FL
National Provider Identifier
1891740528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME72866
- Practice address
- 5701 Overseas Hwy
Suite 8
Marathon, FL 33050-2784 - Phone
- (305) 743-3511
- Fax
- (305) 743-9576
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME72866 | FL | Primary |
Addresses
Primary practice location
5701 Overseas Hwy
Suite 8
Marathon, FL 33050-2784
Mailing address
6301Gulf of Mexico
Marathon, FL 33050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21079 | Other | FL | BLUE CROSS BLUE SHIELD |
| 2526948000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key West Hma Physician Management LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Key West, FL
- NPI 1255909867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1891740528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301GULF OF MEXICO",
"city": "MARATHON",
"state": "FL",
"postal_code": "33050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 OVERSEAS HWY",
"address_2": "SUITE 8",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502784",
"telephone_number": "305-743-3511",
"fax_number": "305-743-9576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALA",
"first_name": "LUIS",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME72866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21079",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2526948000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.