Jose Baldriche

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9119549. Issued in FL

Practice address

1301 E Broward Blvd Ste 240
Fort Lauderdale, FL 33301-2111

Phone

(954) 983-1211

NPI assigned

Feb 13, 2023

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Lamet MD PA

  dba The Center for Gastrointestinal Disorders

  • Gastroenterology Physician
  • Hollywood, FL
  • NPI 1013004605

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1386341261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E BROWARD BLVD STE 240",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012111",
            "telephone_number": "954-983-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E BROWARD BLVD STE 240",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012111",
            "telephone_number": "954-983-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDRICHE",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119549.",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William L Balanoff, D.D.S.
• Ania Balanza
• Adrienne Danette Balboni
• Sergio Balcazar Jr., L.M.F.T.
• Gaby Balda Taylor, PT
• Jillian Claire Baldwin, PSY.D.
• Ashley Danielle Baldyga
• Naomi Hope Balingcongan
• Cherie Ballard
• Shelby Ballaron, PA-C

• Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.