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Organization
LUIS E GRAU MD PA
Active
Organization
LUIS E GRAU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS E GRAU M.D., (DIRECTOR)
(305) 823-3131
Entity
Organization
Contact information
Practice address
900 W 49TH ST, SUITE 304, HIALEAH, FL 33012-3402
(305) 823-3131
(305) 558-4267
Mailing address
900 W 49TH ST, SUITE 304, HIALEAH, FL 33012-3402
(305) 823-3131
(305) 558-4267
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME90687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47356
BCBS
FL
01
—
K6286
MEDICARE GROUP NUMBER
FL
Enumeration date
08/17/2007
Last updated
05/09/2011
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