NPIMap

Organization Active NPI

Suramed Health Center, PA

Doing business as Suramed Health Center PA Boca Raton

  • Pediatrics Physician
  • Boca Raton, FL
National Provider Identifier
1457957896
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SURAMED HEALTH CENTER, PA
Doing business as
Suramed Health Center PA Boca Raton
Practice address
801 Meadows Rd Ste 116-118
Boca Raton, FL 33486-2346
Phone
(561) 338-9615
Fax
(561) 338-9616
NPI assigned
Dec 10, 2020
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Alfonso J Henriquez, MDNPI 1851449995
Title
Pediatrician
Phone
(561) 338-9615

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
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

801 Meadows Rd Ste 116-118
Boca Raton, FL 33486-2346

Mailing address

801 Meadows Rd Ste 118
Boca Raton, FL 33486-2346
Phone (561) 338-9615

Other identifiers 1

IdentifierTypeStateIssuer
009406904MedicaidFL

Other names 1

  • SURAMED HEALTH CENTER PA BOCA RATON Doing business as

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
10D1037607Suramed Health Center PA801 Meadows Rd Unit 116-118, Boca Raton, FL 33486Certificate of waiverFeb 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Suramed Health Center PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 Meadows Rd
Ste 118
Boca Raton, FL 33486
Phone (561) 338-9615

2640 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 275-7100

Practitioners & affiliated clinicians

Practitioners 4

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": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1457957896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD STE 118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-338-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD STE 116-118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-338-9615",
            "fax_number": "561-338-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURAMED HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "561-338-9615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009406904",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURAMED HEALTH CENTER PA BOCA RATON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.