JORGE L SERRA MD PA
NPI 1821246489
Internal Medicine in Bonita Springs, FL

NPI Status: Active since September 08, 2008

Contact Information

3501 HEALTH CENTER BLVD
SUITE 2190
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 221-8475
Fax: (239) 221-8487

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  • Organization
  • Internal Medicine
  • CLIA Number: 10D1091403
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 10-30-2026

About JORGE L SERRA MD PA

This page provides the complete NPI Profile along with additional information for Jorge L Serra Md Pa, an internist established in Bonita Springs, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1821246489 assigned on September 2008. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jorge L Serra Md (Owner)

NPI
1821246489
Provider Name
JORGE L SERRA MD PA
Entity Type
Organization
Location Address
3501 HEALTH CENTER BLVD SUITE 2190 BONITA SPRINGS, FL 34135
Location Phone
(239) 221-8475
Location Fax
(239) 221-8487
Mailing Address
3501 HEALTH CENTER BLVD SUITE 2190 BONITA SPRINGS, FL 34135
Mailing Phone
(239) 221-8475
Mailing Fax
(239) 221-8487
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2008
Last Update Date
12-03-2009
Code Navigator

An internist like Jorge L Serra Md Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JORGE L SERRA MD

Authorized Official Title
OWNER
Authorized Official Phone
(239) 221-8475

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1091403
Facility Type
Mobile Laboratory
Certificate Effective Date
October 31, 2024
Certificate Expiration Date
October 30, 2026
Laboratory Director
JORGE L. SERRA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jorge L Serra Md Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821246489, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 4 + 4 + 1 + 2 + 4 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1821246489.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Radiology (Diagnostic Radiology)
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
General Practice
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Internal Medicine
3501 HEALTH CENTER BLVD, SUITE 2310
BONITA SPRINGS, FL 34135
Clinical Medical Laboratory
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Surgery
3501 HEALTH CENTER BLVD, STE 2110
BONITA SPRINGS, FL 34135
Nurse Practitioner (Family)
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Internal Medicine
3501 HEALTH CENTER BLVD, SUITE 2400
BONITA SPRINGS, FL 34135
Durable Medical Equipment & Medical Supplies
3501 HEALTH CENTER BLVD, SUITE 2145
BONITA SPRINGS, FL 34135
Physical Therapist
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Surgery
3501 HEALTH CENTER BLVD, STE 2110
BONITA SPRINGS, FL 34135
Physical Medicine & Rehabilitation (Pain Medicine)
3501 HEALTH CENTER BLVD, SUITE 1300
BONITA SPRINGS, FL 34135
Speech-Language Pathologist
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Clinic/Center (Primary Care)
3501 HEALTH CENTER BLVD, SUITE 2160
BONITA SPRINGS, FL 34135
Physical Therapist
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Podiatrist (Foot & Ankle Surgery)
3501 HEALTH CENTER BLVD, SUITE 2180
BONITA SPRINGS, FL 34135
Massage Therapist
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Ophthalmology
3501 HEALTH CENTER BLVD, SUITE 2170
BONITA SPRINGS, FL 34135
Clinic/Center (Health Service)
3501 HEALTH CENTER BLVD, #2230
BONITA SPRINGS, FL 34135
Family Medicine
3501 HEALTH CENTER BLVD, SUITE 2230
BONITA SPRINGS, FL 34135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821246489, enumerated as an "organization" on September 08, 2008.

The provider is located at 3501 HEALTH CENTER BLVD SUITE 2190 BONITA SPRINGS, FL 34135 and the phone number is (239) 221-8475.

Internal Medicine with taxonomy code 207R00000X.