Individual provider Active NPI

Boris Alzugaray

  • Contractor
  • Virginia Gardens, FL
National Provider Identifier
1447528435
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MM28235 Issued in FL
Practice address
6595 NW 36TH St
Suite 200
Virginia Gardens, FL 33166-6979
Phone
(305) 874-3881
Fax
(305) 526-2042
NPI assigned
Dec 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MM28235 FL Primary

Addresses

Primary practice location

6595 NW 36TH St
Suite 200
Virginia Gardens, FL 33166-6979

Mailing address

6595 NW 36TH St
Suite 200
Virginia Gardens, FL 33166-6979
Phone (305) 874-3881

Other identifiers 1

IdentifierTypeStateIssuer
MM28235OtherFLSTATE LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MM28235FLMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alzugaray Therapy Center Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1447528435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 200",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-874-3881",
            "fax_number": "305-526-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 200",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-874-3881",
            "fax_number": "305-526-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZUGARAY",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "MM28235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MM28235",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.