Jose E de la Gandara MD Angela Pedraza MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JOSE E DE LA GANDARA MD ANGELA PEDRAZA MD PA

Practice address

2161 Palm Beach Lakes Blvd
Suite 215
West Palm Beach, FL 33409-6607

Phone

(561) 687-2111

Fax

(561) 687-1777

NPI assigned

May 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jose E De la Gandara, MD

Title

Co Owner

Phone

(561) 687-2111

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033165618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 215",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096607",
            "telephone_number": "561-687-2111",
            "fax_number": "561-687-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 215",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096607",
            "telephone_number": "561-687-2111",
            "fax_number": "561-687-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE E DE LA GANDARA MD ANGELA PEDRAZA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE LA GANDARA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "561-687-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla Jordonne
• Winx Jordonne
• Jorge a. Alvarez DDS PA
• Clara Ivon Jorge Gomez
• Donna L Jorgensen
• Jose R. Nodarse MD, P.L.
• Emmanuel Jose
• Joseph L Morse Health Center, Inc.
• Joseph L Morse Health Center, Inc.
• Joseph L Morse Health Center, Inc.

• Psychiatry Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.