Prudencio Estolero Laroya, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME44748 Issued in FL

Practice address

1801 S 23Rd St
Suite 3
Fort Pierce, FL 34950-4830

Phone

(772) 466-2045

Fax

(772) 466-8646

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prudencio E. Laroya, M.D. PA

  • Pediatrics Physician
  • Fort Pierce, FL
  • NPI 1295747806
  NPD Authorized official

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1164408142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 23RD ST",
            "address_2": "SUITE 3",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504830",
            "telephone_number": "772-466-2045",
            "fax_number": "772-466-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 23RD ST",
            "address_2": "SUITE 3",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504830",
            "telephone_number": "772-466-2045",
            "fax_number": "772-466-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROYA",
        "first_name": "PRUDENCIO",
        "middle_name": "ESTOLERO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME44748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003471100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069288300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lane
• Megan Lane
• Mira B Lane
• Kenneth E Langley, MD
• Raymond Timothy Larocque, M.D
• Mary Larry
• Marion L Latimer
• Philana Jade Latortue
• Alicia Camille Latty, M.S
• Laura Hanke Arnp LTD Co

• Pediatrics Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.