Geriatrics of Boca Delray PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME95737 Issued in FL

Legal business name

GERIATRICS OF BOCA DELRAY PA

Practice address

16244 S Military TRL
Delray Beach, FL 33484-6534

Phone

(561) 865-5151

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Maritza Polanco

Title

President

Phone

(561) 843-8646

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 9

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

• Petronela Antohi, M.D.

  • Internal Medicine Physician
  • Apopka, FL
  • NPI 1760777510
  Medicare reassignment Care Compare group NPD
• Michelle Annette Archambault, MSN, APRN, AGPCNP-BC

  • Nurse Practitioner
  • Delray Beach, FL
  • NPI 1518566090
  Medicare reassignment Care Compare group NPD
• Bruce S Levin, M.D.

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1912095464
  Medicare reassignment Care Compare group NPD
• Ernesto Fidel Porras Polo, M.D.

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1952332652
  Medicare reassignment Care Compare group NPD
• Eileen Fermin, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Sebastian, FL
  • NPI 1265553325
  Medicare reassignment NPD
• Nevenka Metikos, NURSE PRACTITIONER

  • Nurse Practitioner
  • Boca Raton, FL
  • NPI 1790923134
  Medicare reassignment NPD
• Guillermo F Morel, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Sebastian, FL
  • NPI 1992827091
  Medicare reassignment NPD
• Georgia Ferrer, ARNP

  • Nurse Practitioner
  • Delray Beach, FL
  • NPI 1740237023
  NPD (past)
• Sandra Romo, GNP-C, PMHNP-BC, APR

  • Psychiatric/Mental Health Nurse Practitioner
  • Delray Beach, FL
  • NPI 1104150861
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1073732475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6972",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334826972",
            "telephone_number": "561-865-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-865-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRICS OF BOCA DELRAY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-843-8646"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279221400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sindu C George, APRN
• Emily J Georgia Salivar, PHD
• Michele L Geraci, MS, RD, LD
• Mario Manuel Gerardi
• Geriatric Wellness LLC
• Naomie L Germain
• Gershon Fink DO PA
• Evan Sloan Gerstel
• Zachary E. Gerut, M.D.
• William A Gervasio, PHARMACIST

• Internal Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.