Active NPI
Shaleene Persaud-Vasquez, M.D.
- General Practice Physician
- Delray Beach, FL
National Provider Identifier
1265897904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN719
- Practice address
- 400 S Swinton Ave
Delray Beach, FL 33444-3553 - Phone
- (561) 278-0000
- NPI assigned
- Dec 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN719 | FL | Primary |
Addresses
Primary practice location
400 S Swinton Ave
Delray Beach, FL 33444-3553
Mailing address
586 Edgebrook LN
Wellington, FL 33411-5301
Phone (561) 758-9333
Other practice location 1
6405 W Indiantown Rd Ste B
Jupiter, FL 33458-4040
Phone (561) 203-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN719 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drug Abuse Foundation | Past | Accepting new patients | |
| Drug Abuse Foundation of Palm Beach County, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Children's Substance Abuse Rehabilitation Facility
- Delray Beach, FL
- NPI 1205362712
-
- Substance Abuse Rehabilitation Facility
- Delray Beach, FL
- NPI 1851557193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1265897904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 EDGEBROOK LN",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334115301",
"telephone_number": "561-758-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S SWINTON AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334443553",
"telephone_number": "561-278-0000"
}
],
"practiceLocations": [
{
"address_1": "6405 W Indiantown Rd Ste B",
"address_purpose": "LOCATION",
"city": "Jupiter",
"state": "FL",
"postal_code": "334584040",
"country_code": "US",
"telephone_number": "561-203-7511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSAUD-VASQUEZ",
"first_name": "SHALEENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-23",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.