NPIMap

Organization Active NPI

Mario M. Baez, M.D., P.a.

Doing business as Boynton Medical

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1356602791
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARIO M. BAEZ, M.D., P.A.
Doing business as
Boynton Medical
Practice address
2240 W Woolbright Rd
Suite 305
Boynton Beach, FL 33426-6332
Phone
(561) 736-3221
Fax
(561) 736-5656
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Dr. Mario M. Baez, M.D.NPI 1255303509
Title
President/Owner
Phone
(561) 736-3221

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2240 W Woolbright Rd
Suite 305
Boynton Beach, FL 33426-6332

Mailing address

2240 W Woolbright Rd
Suite 305
Boynton Beach, FL 33426-6332
Phone (561) 736-3221

Other identifiers 1

IdentifierTypeStateIssuer
259284300MedicaidFL

Other names 1

  • Boynton Medical Doing business as

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1356602791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W WOOLBRIGHT RD",
            "address_2": "SUITE 305",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266332",
            "telephone_number": "561-736-3221",
            "fax_number": "561-736-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W WOOLBRIGHT RD",
            "address_2": "SUITE 305",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266332",
            "telephone_number": "561-736-3221",
            "fax_number": "561-736-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO M. BAEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-736-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259284300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boynton Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.