Active NPI
Jose Luis Proenza, MD
- Gastroenterology Physician
- Jupiter, FL
National Provider Identifier
1427047836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME62386
- Practice address
- 210 Jupiter Lakes Blvd
Building 3000 Suite 106
Jupiter, FL 33458-7191 - Phone
- (561) 746-6300
- Fax
- (561) 746-6376
- NPI assigned
- Oct 18, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME62386 | FL | Primary |
Addresses
Primary practice location
210 Jupiter Lakes Blvd
Building 3000 Suite 106
Jupiter, FL 33458-7191
Mailing address
210 Jupiter Lakes Blvd
Building 3000 Suite 106
Jupiter, FL 33458-7191
Phone (561) 746-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26491 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME62386 | FL | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1427047836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD",
"address_2": "BUILDING 3000 SUITE 106",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587191",
"telephone_number": "561-746-6300",
"fax_number": "561-746-6376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD",
"address_2": "BUILDING 3000 SUITE 106",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587191",
"telephone_number": "561-746-6300",
"fax_number": "561-746-6376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROENZA",
"first_name": "JOSE",
"middle_name": "LUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME62386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "26491",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
- Primary Care Services of Jupiter Medical Specialists, LLC
- Prime Sports Performance and Therapy LLC
- Karleen Yvonne Prince-Curtis, PHARMACIST
- Priority Diabetes Supply, Inc. (iON My Health)
- Prodigy Medical
- John Charles Profera, APRN, BC
- Professional Audiology Associates
- Professional Therapy & Rehabilitation Services LLC (PTRS Group)
- Progressive Health and Rejuvenation
- Progressive Home Health Care Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.