Active NPI
Eduardo J Sequeira MD PA
- Internal Medicine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1275972564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0078293
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduardo J Sequeira, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004497000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1003890674
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.