Organization Active NPI

Eduardo J Sequeira MD PA

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1275972564
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0078293 Issued in FL
Legal business name
EDUARDO J SEQUEIRA MD PA
Practice address
79 Satinwood LN
Palm Beach Gardens, FL 33410-1601
Phone
(561) 889-7927
Fax
(561) 345-3583
NPI assigned
Jun 19, 2013
Last updated
Jun 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Eduardo J Sequeira, MDNPI 1003890674
Title
Medical Doctor
Phone
(561) 889-7927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0078293 FL Primary

Addresses

Primary practice location

79 Satinwood LN
Palm Beach Gardens, FL 33410-1601

Mailing address

79 Satinwood LN
Palm Beach Gardens, FL 33410-1601
Phone (561) 889-7927

Other identifiers 1

IdentifierTypeStateIssuer
004497000MedicaidFL

National Provider Directory

National Provider Directory

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": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1275972564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SATINWOOD LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101601",
            "telephone_number": "561-889-7927",
            "fax_number": "561-345-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SATINWOOD LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101601",
            "telephone_number": "561-889-7927",
            "fax_number": "561-345-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO J SEQUEIRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "SEQUEIRA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "561-889-7927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0078293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004497000",
            "state": "FL"
        }
    ],
    "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 Jun 19, 2013; 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.