Organization Active NPI

Boriken Pain and Anesthesia L.L.C.

  • Interventional Pain Medicine Physician
  • Plant City, FL
National Provider Identifier
1245764208
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
BORIKEN PAIN AND ANESTHESIA L.L.C.
Practice address
110 Southern Oaks Dr
Plant City, FL 33563-1446
Phone
(813) 938-6627
Fax
(866) 357-5209
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. Orvil Luis Ayala, MDNPI 1033353313
Title
Member
Phone
(813) 938-6627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

110 Southern Oaks Dr
Plant City, FL 33563-1446

Mailing address

3433 Lithia Pinecrest Rd Ste 196
Valrico, FL 33596-6302
Phone (813) 938-6627

National Provider Directory

National Provider Directory

Locations

110 Southern Oaks Dr
Plant City, FL 33563
Phone (813) 752-0757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1245764208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 LITHIA PINECREST RD STE 196",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966302",
            "telephone_number": "813-938-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTHERN OAKS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631446",
            "telephone_number": "813-938-6627",
            "fax_number": "866-357-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIKEN PAIN AND ANESTHESIA L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "ORVIL",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "813-938-6627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.