Medicus Health Plan, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MEDICUS HEALTH PLAN, INC.

Practice address

9980 Central Park Blvd N Ste 116
Boca Raton, FL 33428-1703

Phone

(866) 731-6777

Fax

(954) 845-0416

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Fernando M Lopez-Ivern, MD

Title

Owner / M.D

Phone

(866) 731-6777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Cristalle Haye, APRN

  • Family Nurse Practitioner
  • Deerfield Beach, FL
  • NPI 1013644582
  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1356818637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 116",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "866-731-6777",
            "fax_number": "954-845-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 116",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "866-731-6777",
            "fax_number": "954-845-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS HEALTH PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-IVERN",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / M.D",
        "authorized_official_telephone_number": "866-731-6777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT DETOXIFICATION",
            "identifier": "1036593",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Specialists Primary and Urgent Care Facility Inc
• Medication Assisted Recovery Institute, LLC
• Medicationadvisingnetwork
• Medicus Diagnostic Inc
• Medicus Diagnostics Inc
• Medify Air, LLC
• Monica Maria Angelica Medina Garate
• Marco Antonio Medina Hernandez
• Luna Levana Medina-Wolf, LMHC, NCC, MCAP
• Clara Medina

• Substance Abuse Rehabilitation Facility in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.