Organization Active NPI

Grace Oropesa LLC

  • Primary Care Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1508400219
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GRACE OROPESA LLC
Practice address
12824 NW 21St St
Pembroke Pines, FL 33028-2534
Phone
(954) 918-2820
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Graziq Oropesa, ARNP
Title
Owner
Phone
(954) 918-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

12824 NW 21St St
Pembroke Pines, FL 33028-2534

Mailing address

12824 NW 21St St
Pembroke Pines, FL 33028-2534

Other identifiers 1

IdentifierTypeStateIssuer
9000176264MedicaidCO

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.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1508400219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12824 NW 21ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12824 NW 21ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282534",
            "telephone_number": "954-918-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OROPESA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "OROPESA",
        "authorized_official_first_name": "GRAZIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-918-2820",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000176264",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.