Organization Active NPI

Treasure Coast Pediatric Associates,P.a.

  • Pediatric Adolescent Medicine Physician
  • Stuart, FL
National Provider Identifier
1144389628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME 39631 Issued in FL
Legal business name
TREASURE COAST PEDIATRIC ASSOCIATES,P.A.
Practice address
506 SW Federal Hwy
Suite # 101
Stuart, FL 34994-2827
Phone
(772) 283-0278
Fax
(772) 220-6626
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Trinidad Rojas, M.D.
Title
President
Phone
(772) 283-0278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X ME 39631 FL Primary

Addresses

Primary practice location

506 SW Federal Hwy
Suite # 101
Stuart, FL 34994-2827

Mailing address

506 SW Federal Hwy
Suite # 101
Stuart, FL 34994-2827
Phone (772) 283-0278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144389628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 SW FEDERAL HWY",
            "address_2": "SUITE # 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942827",
            "telephone_number": "772-283-0278",
            "fax_number": "772-220-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SW FEDERAL HWY",
            "address_2": "SUITE # 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942827",
            "telephone_number": "772-283-0278",
            "fax_number": "772-220-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PEDIATRIC ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "TRINIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-283-0278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME 39631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • 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.