Active NPI
Grace Oropesa LLC
- Primary Care Clinic/Center
- Pembroke Pines, FL
National Provider Identifier
1508400219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000176264 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Pembroke Pines, FL
- NPI 1932447364
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.