Active NPI
My Way Pediatrics LLC
- Pediatrics Physician
- Royal Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MY WAY PEDIATRICS LLC
- Practice address
- 1410 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1608 - Phone
- (561) 777-5246
- Fax
- (561) 484-5752
- NPI assigned
- May 2, 2021
- 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
- Juan C Collazos-Rodriguez, MD
- Title
- Pediatrician
- Phone
- (702) 756-9994
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1410 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1608
Mailing address
4695 Manderly Dr
Wellington, FL 33449-7406
Phone (702) 756-9994
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2230537 | My Way Pediatrics Associates, LLC | Certificate of waiver | Jul 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
1410 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411
Phone (561) 423-9944
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Royal Palm Beach, FL
- NPI 1215199294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619913600000",
"number": "1336722982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4695 MANDERLY DR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334497406",
"telephone_number": "702-756-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 ROYAL PALM BEACH BLVD",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111608",
"telephone_number": "561-777-5246",
"fax_number": "561-484-5752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY WAY PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-02",
"last_updated": "2021-05-02",
"certification_date": "2021-05-02",
"status": "A",
"authorized_official_last_name": "COLLAZOS-RODRIGUEZ",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PEDIATRICIAN",
"authorized_official_telephone_number": "702-756-9994",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.