NPIMap

Organization Active NPI

Jupiter Hand to Shoulder, LLC

Doing business as Palm Beach Hand to Shoulder

  • Surgery of the Hand (Surgery) Physician
  • Jupiter, FL
National Provider Identifier
1467796797
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
ME104238 Issued in FL
Legal business name
JUPITER HAND TO SHOULDER, LLC
Doing business as
Palm Beach Hand to Shoulder
Practice address
1002 S Old Dixie Hwy
Suite 105
Jupiter, FL 33458
Phone
(561) 746-7686
Fax
(561) 746-3420
NPI assigned
Nov 27, 2012
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Veronica Asela Diaz, MDNPI 1861693236
Title
Owner
Phone
(561) 746-7686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X ME104238 FL Primary

Addresses

Primary practice location

1002 S Old Dixie Hwy
Suite 105
Jupiter, FL 33458

Mailing address

1002 S Old Dixie Hwy
Suite 105
Jupiter, FL 33458-7202
Phone (561) 746-7686

Other names 1

  • Palm Beach Hand to Shoulder Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1467796797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-746-7686",
            "fax_number": "561-746-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-746-7686",
            "fax_number": "561-746-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER HAND TO SHOULDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "ASELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-746-7686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME104238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Hand to Shoulder",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Beach Hand to Shoulder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.