| Luis E Grau Md Pa | |
|
900 W 49th St Suite 304 Hialeah FL 33012-3402 | |
| (305) 823-3131 | |
| (305) 558-4267 |
| Full Name | Luis E Grau Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 900 W 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Luis E Grau (DIRECTOR) |
| Authorized Official Contact | 3058233131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis E Grau Md Pa 900 W 49th St Suite 304 Hialeah FL 33012-3402 Ph: (305) 823-3131 | Luis E Grau Md Pa 900 W 49th St Suite 304 Hialeah FL 33012-3402 Ph: (305) 823-3131 |
| NPI Number | 1821280462 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 05/09/2011 |
| Medicare PECOS PAC ID | 0143299867 |
|---|---|
| Medicare Enrollment ID | O20040929000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821280462 | NPI | - | NPPES |
| 47356 | Other | FL | BCBS |
| K6286 | Other | FL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME90687 (Florida) | Primary |
| Provider Name | Luis E Grau |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801869052 PECOS PAC ID: 8123925070 Enrollment ID: I20031217001052 |
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