Vartgez Mansourian MD PA

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

VARTGEZ MANSOURIAN MD PA

Practice address

951 NW 13TH St
Suite 2B
Boca Raton, FL 33486-2359

Phone

(561) 750-7110

Fax

(561) 750-7151

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vartgez Kenaraky Mansourian, M.D.

Title

Owner

Phone

(561) 750-7110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1457410680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "SUITE 2B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862359",
            "telephone_number": "561-750-7110",
            "fax_number": "561-750-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "SUITE 2B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862359",
            "telephone_number": "561-750-7110",
            "fax_number": "561-750-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARTGEZ MANSOURIAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "MANSOURIAN",
        "authorized_official_first_name": "VARTGEZ",
        "authorized_official_middle_name": "KENARAKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-750-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.