Active NPI
Edgar Angel Covarrubias, M.D.
- Specialist
- Palm Beach Gardens, FL
National Provider Identifier
1124080197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0036593
- Practice address
- 3370 Burns Road ,
# 106
Palm Beach Gardens, FL 33410-4327 - Phone
- (561) 622-3875
- Fax
- (561) 622-4614
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0036593 | FL | Primary |
Addresses
Primary practice location
3370 Burns Road ,
# 106
Palm Beach Gardens, FL 33410-4327
Mailing address
PO Box 31988
Palm Beach Gardens, FL 33420-1988
Phone (561) 622-3875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160209000981 | FL | Order and Referring Only - Cardiovascular Disease (Cardiology) | 0749389377 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0036593 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330128000000",
"number": "1124080197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31988",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334201988",
"telephone_number": "561-622-3875",
"fax_number": "561-622-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3370 BURNS ROAD ,",
"address_2": "# 106",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104327",
"telephone_number": "561-622-3875",
"fax_number": "561-622-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVARRUBIAS",
"first_name": "EDGAR",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2012-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "0036593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.