Convenient Practitioner Services PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ARNP1737192 Issued in FL

Legal business name

CONVENIENT PRACTITIONER SERVICES PA

Practice address

10641 SW 37TH PL
Davie, FL 33328-1310

Phone

(954) 861-7522

Fax

(954) 916-9436

NPI assigned

Apr 21, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Igdalis Roldan Christen, ARNP

Title

President

Phone

(954) 861-7522

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric O Pantaleon, M.D.

  • Specialist
  • Hallandale, FL
  • NPI 1518997964
  Medicare reassignment NPD
• Igdalis Roldan, APRN

  • Family Medicine Physician
  • Plantation, FL
  • NPI 1629012885
  Medicare reassignment NPD

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1063656155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 SW 37TH PL",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281310",
            "telephone_number": "954-861-7522",
            "fax_number": "954-916-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 SW 37TH PL",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281310",
            "telephone_number": "954-861-7522",
            "fax_number": "954-916-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT PRACTITIONER SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "ROLDAN CHRISTEN",
        "authorized_official_first_name": "IGDALIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-861-7522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP1737192",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1737192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andreina Contreras
• Cindy Contreras
• Heather Contreras
• Jessy Carolina Contreras
• Mariela America Contreras, DH16013
• Brittney Cook
• Carrie Cook
• Rosemary Hill Cook, L.D.O.
• Karen Cordeiro
• Kassandra Cordero

• Family Medicine Physician in Davie, FL
• Providers in Davie, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.