Active NPI
Jose E Serra, MD
- Internal Medicine Physician
- Stuart, FL
National Provider Identifier
1962464651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0049860
- Practice address
- 19 SE Osceola St
Stuart, FL 34994-2125 - Phone
- (772) 283-4093
- Fax
- (772) 283-9874
- NPI assigned
- Apr 6, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0049860 | FL | Primary |
Addresses
Primary practice location
19 SE Osceola St
Stuart, FL 34994-2125
Mailing address
19 SE Osceola St
Stuart, FL 34994-2125
Phone (772) 283-4093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04738 | Other | FL | BC BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0049860 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962464651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SE OSCEOLA ST",
"city": "STUART",
"state": "FL",
"postal_code": "349942125",
"telephone_number": "772-283-4093",
"fax_number": "772-283-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SE OSCEOLA ST",
"city": "STUART",
"state": "FL",
"postal_code": "349942125",
"telephone_number": "772-283-4093",
"fax_number": "772-283-9874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRA",
"first_name": "JOSE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0049860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "04738",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.