Organization Active NPI

PBC Hospitalist Group P.a.

  • Hospitalist Physician
  • Wellington, FL
National Provider Identifier
1396108684
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME80762 Issued in FL
Legal business name
PBC HOSPITALIST GROUP P.A.
Practice address
2739 Treanor Ter
Wellington, FL 33414-6460
Phone
(561) 523-5653
Fax
(561) 491-7152
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Constantino Luis Regalado, M.D.
Title
Owner
Phone
(561) 523-5653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X ME80762 FL Primary

Addresses

Primary practice location

2739 Treanor Ter
Wellington, FL 33414-6460

Mailing address

2739 Treanor Ter
Wellington, FL 33414-6460
Phone (561) 523-5653

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1396108684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 TREANOR TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146460",
            "telephone_number": "561-523-5653",
            "fax_number": "561-491-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 TREANOR TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146460",
            "telephone_number": "561-523-5653",
            "fax_number": "561-491-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBC HOSPITALIST GROUP P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "REGALADO",
        "authorized_official_first_name": "CONSTANTINO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-523-5653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME80762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.