Organization Active NPI

Danielle Defreitas LLC

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1346877537
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DANIELLE DEFREITAS LLC
Practice address
910 NE 19TH Ave
Fort Lauderdale, FL 33304-3031
Phone
(754) 800-4826
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Mrs. Danielle Soriero, AP
Title
Owner/Provider
Phone
(754) 800-4826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

910 NE 19TH Ave
Fort Lauderdale, FL 33304-3031

Mailing address

1201 SE 2ND CT Apt 209
Fort Lauderdale, FL 33301-3664
Phone (954) 552-0333

Other identifiers 1

IdentifierTypeStateIssuer
104614600MedicaidFL

National Provider Directory

National Provider Directory

Locations

910 NE 19th Ave
Fort Lauderdale, FL 33304
Phone (754) 800-4826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1346877537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SE 2ND CT APT 209",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013664",
            "telephone_number": "954-552-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NE 19TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043031",
            "telephone_number": "754-800-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE DEFREITAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "SORIERO",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "754-800-4826",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104614600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.