Organization Active NPI

Boynton Primary Care, LLC

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1437814274
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOYNTON PRIMARY CARE, LLC
Practice address
2828 S Seacrest Blvd Ste 101
Boynton Beach, FL 33435-7944
Phone
(561) 736-1070
NPI assigned
Nov 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Authorized official

Name
Mr. Conrad Zaguirre
Title
Ceo/Cfo
Phone
(561) 537-9617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2828 S Seacrest Blvd Ste 101
Boynton Beach, FL 33435-7944

Mailing address

2828 S Seacrest Blvd Ste 101
Boynton Beach, FL 33435-7944
Phone (561) 736-1070

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0287816Boynton Primary Care LLC2828 S Seacrest Blvd Ste 101, Boynton Beach, FL 33435Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636156800000",
    "number": "1437814274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD STE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-736-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD STE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-736-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A",
        "authorized_official_last_name": "ZAGUIRRE",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "561-537-9617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.