Trapex Medical Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME60805 Issued in FL

Legal business name

TRAPEX MEDICAL CENTER, INC

Practice address

2701 W Oakland Park Blvd
Suite 103
Oakland Park, FL 33311-1388

Phone

(954) 533-1165

Fax

(954) 533-1507

NPI assigned

Aug 7, 2014

Last updated

Sep 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nirva Derizier, M.D.

Title

President

Phone

(954) 533-1165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1356750947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD",
            "address_2": "SUITE 103",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111388",
            "telephone_number": "954-533-1165",
            "fax_number": "954-533-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD",
            "address_2": "SUITE 103",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111388",
            "telephone_number": "954-533-1165",
            "fax_number": "954-533-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAPEX MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "DERIZIER",
        "authorized_official_first_name": "NIRVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-533-1165",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME60805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.