Individual provider Active NPI

Israel Junquera Camargo, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1487272316
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007934 Issued in FL
Practice address
3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854
Phone
(561) 964-4577
NPI assigned
Jul 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007934 FL Primary

Addresses

Primary practice location

3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854

Mailing address

1750 Magnolia Dr
West Palm Beach, FL 33417-4428
Phone (786) 715-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220111001452 FL Practitioner - Nurse Practitioner 3577955178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Soma Medical Center PA 14Group PAC ID 3072959865, 3 clinicians

Practice addresses (Care Compare)

3145 S Congress Ave
Suite a
Palm Springs, FL 33461-2553
Phone (561) 559-2371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
11007934FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center, PA CurrentSince Dec 23, 2021 Accepting new patients
Soma Medical Center, PA CurrentSince Dec 23, 2021 Accepting new patients
Soma Medical Center, P.a. Past Accepting new patients

Locations

3145 S Congress Ave
Ste A
Palm Springs, FL 33461
Phone (516) 814-7622

3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577

3255 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 433-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 4

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1487272316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 MAGNOLIA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174428",
            "telephone_number": "786-715-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-964-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNQUERA CAMARGO",
        "first_name": "ISRAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.