MIGUEL A LUNA RUSSO M.D. NPI 1538423967

NPI Information

  • NPI: 1538423967
  • Provider Name: MIGUEL A LUNA RUSSO, M.D.
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4631 N CONGRESS AVE STE 100
    WEST PALM BEACH, FL
    ZIP 33407
  • Phone: (561) 764-2750

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NPI Details

Miguel A Luna Russo, M.D. is an urogynecology and reconstructive pelvic surgery in West Palm Beach, FL with 20 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Miguel A Luna Russo, M.D. NPI is 1538423967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4631 N CONGRESS AVE STE 100
WEST PALM BEACH, FL
ZIP 33407-209
Phone: (561) 764-2750

The NPI 1538423967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2012 and was last updated on 9/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology23780Foreign CountryNo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery35.136534OHIONo
3207VG0400XObstetrics & GynecologyGynecology35.136534OHIONo
4207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryME163514FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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