NPIMap

Organization Active NPI

Palm Beach Radiology Professionals, PA

  • Diagnostic Radiology Physician
  • Margate, FL
National Provider Identifier
1396711933
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME62568 Issued in FL
Legal business name
PALM BEACH RADIOLOGY PROFESSIONALS, PA
Practice address
2801 N State Road 7
Margate, FL 33063-5727
Phone
(561) 548-3727
Fax
(561) 548-1238
NPI assigned
Feb 24, 2006
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Santiago Hernandez, M.D.NPI 1699740431
Title
Director
Phone
(561) 548-3727

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME62568 FL Primary
Therapeutic Radiology Physician 2085R0203X ME62568 FL

Addresses

Primary practice location

2801 N State Road 7
Margate, FL 33063-5727

Mailing address

Dept at 952288
Atlanta, GA 31192-2288
Phone (305) 503-6320

Other identifiers 1

IdentifierTypeStateIssuer
269492100MedicaidFL

National Provider Directory

National Provider Directory

Locations

Dept AT 952288
Atlanta, GA 31192

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1396711933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT AT 952288",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311922288",
            "telephone_number": "305-503-6320",
            "fax_number": "305-503-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635727",
            "telephone_number": "561-548-3727",
            "fax_number": "561-548-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH RADIOLOGY PROFESSIONALS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-548-3727",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME62568",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "FL",
            "license": "ME62568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269492100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.