Advanced Pediatrics of Boca

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME93535 Issued in FL

Legal business name

ADVANCED PEDIATRICS OF BOCA

Practice address

9970 Central Park Blvd N
Suite 203
Boca Raton, FL 33428-2231

Phone

(561) 716-7870

Fax

(561) 649-5770

NPI assigned

Jun 23, 2009

Last updated

Jun 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Celina Carrillo, MD

Title

Physician

Phone

(561) 716-7870

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1063640654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-716-7870",
            "fax_number": "561-649-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-716-7870",
            "fax_number": "561-649-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PEDIATRICS OF BOCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "CELINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-716-7870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.