Interventional Pain Management and Regenerative Medicine of the Palm B

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL PAIN MANAGEMENT AND REGENERATIVE MEDICINE OF THE PALM B

Practice address

3319 S State Road 7 Ste 102
Wellington, FL 33449-8099

Phone

(561) 436-5904

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Humberto Porrata Nieva, MD

Title

Owner

Phone

(561) 436-5904

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1295593150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7 STE 102",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7 STE 102",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498099",
            "telephone_number": "561-436-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT AND REGENERATIVE MEDICINE OF THE PALM B",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "PORRATA NIEVA",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-436-5904",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Women's Health and Body, LLC
• Integrative Psychiatry and Whole Body Wellness, LLC
• Integrative Treatment Center LLC
• Intellrx Consulting LLC
• Internal Medicine of Palm Beach LLC
• Intraview, Inc. (none)
• Irina Kuzmina Therapy, LLC
• Johanna Irizarry, CRNA
• Mary Jane Isbell, CRNA
• Marie Ketlie Isidort

• Interventional Pain Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.