Organization Active NPI

Robert Borrego, M.D., P.a.

  • Trauma Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1427319060
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
57542 Issued in FL
Legal business name
ROBERT BORREGO, M.D., P.A.
Practice address
3375 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4349
Phone
(561) 799-9559
Fax
(561) 799-9577
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Robert Borrego, M.D.NPI 1821191826
Title
Owner
Phone
(561) 799-9559

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
Trauma Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0127X 57542 FL Primary

Addresses

Primary practice location

3375 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4349

Mailing address

3375 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4349
Phone (561) 799-9559

Other identifiers 1

IdentifierTypeStateIssuer
057824000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000234 FL Part B Supplier - Clinic/Group Practice 0749445468 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL; West Palm Beach, FL

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, 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": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1427319060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104349",
            "telephone_number": "561-799-9559",
            "fax_number": "561-799-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104349",
            "telephone_number": "561-799-9559",
            "fax_number": "561-799-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BORREGO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-799-9559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "57542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057824000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.