Active NPI
Structural Healthcare, LLC
- General Practice Physician
- Coral Springs, FL
National Provider Identifier
1366919334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- STRUCTURAL HEALTHCARE, LLC
- Practice address
- 1401 N University Dr
Coral Springs, FL 33071-8910 - Phone
- (754) 812-1960
- NPI assigned
- Oct 29, 2018
- 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
- Patricia Perez-Pena
- Title
- Managing Member
- Phone
- (754) 812-1960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1401 N University Dr
Coral Springs, FL 33071-8910
Mailing address
1199 S Federal Hwy Ste 192
Boca Raton, FL 33432-7335
Phone (754) 812-1960
Other names 1
- Structural Healthcare, LLC
National Provider Directory
National Provider DirectoryLocations
1401 N University Dr
Coral Springs, FL 33071
Phone (305) 755-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1366919334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1199 S FEDERAL HWY STE 192",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327335",
"telephone_number": "754-812-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 N UNIVERSITY DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718910",
"telephone_number": "754-812-1960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRUCTURAL HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-29",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "PEREZ-PENA",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "754-812-1960"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Structural Healthcare, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.