Organization Active NPI

Libertad a Palma MD PA

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1447324546
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0027611 Issued in FL
Legal business name
LIBERTAD A PALMA MD PA
Practice address
10028 W Oakland Park Blvd
Sunrise, FL 33351-6959
Phone
(954) 748-6665
Fax
(954) 746-0310
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Libertad A Palma, M.D.
Title
Medical Director
Phone
(954) 748-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0027611 FL Primary

Addresses

Primary practice location

10028 W Oakland Park Blvd
Sunrise, FL 33351-6959

Mailing address

10028 W Oakland Park Blvd
Sunrise, FL 33351-6959
Phone (954) 748-6665

National Provider Directory

National Provider Directory

Locations

7200 W Commercial Blvd
Ste 203
Lauderhill, FL 33319
Phone (954) 526-3518

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1447324546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10028 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516959",
            "telephone_number": "954-748-6665",
            "fax_number": "954-746-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10028 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516959",
            "telephone_number": "954-748-6665",
            "fax_number": "954-746-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTAD A PALMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "LIBERTAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-748-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0027611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.