NPIMap

Organization Active NPI

Suramed Health Center, PA

Doing business as Suramed Health Center PA Greenacres

  • Pediatrics Physician
  • Greenacres, FL
National Provider Identifier
1386136570
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SURAMED HEALTH CENTER, PA
Doing business as
Suramed Health Center PA Greenacres
Practice address
6293 Lake Worth Rd
Greenacres, FL 33463
Phone
(561) 812-1271
Fax
(561) 964-4050
NPI assigned
Jun 4, 2018
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Alfonso J Henriquez, MDNPI 1851449995
Title
Pediatrician
Phone
(561) 812-1271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6293 Lake Worth Rd
Greenacres, FL 33463

Mailing address

6293 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 812-1271

Other identifiers 1

IdentifierTypeStateIssuer
009406902MedicaidFL

Other names 1

  • SURAMED HEALTH CENTER PA GREENACRES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suramed Health Center PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6293 LK Worth Rd
Greenacres, FL 33463
Phone (561) 812-1271

Practitioners & affiliated clinicians

Practitioners 4

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": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1386136570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6293 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-812-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6293 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-812-1271",
            "fax_number": "561-964-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURAMED HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "561-812-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009406902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURAMED HEALTH CENTER PA GREENACRES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.