Organization Active NPI

Delray Medical Institute Inc

  • General Practice Physician
  • Delray Beach, FL
National Provider Identifier
1508416074
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DELRAY MEDICAL INSTITUTE INC
Practice address
190 Congress Park Dr Ste 180
Delray Beach, FL 33445-4707
Phone
(561) 699-8526
NPI assigned
Sep 17, 2019
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Eriberto R Torres
Title
Owner
Phone
(561) 699-8526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

190 Congress Park Dr Ste 180
Delray Beach, FL 33445-4707

Mailing address

190 Congress Park Dr Ste 180
Delray Beach, FL 33445-4707
Phone (561) 699-8526

National Provider Directory

National Provider Directory

Locations

190 Congress Park Dr
Ste 180
Delray Beach, FL 33445
Phone (561) 332-3668

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1508416074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CONGRESS PARK DR STE 180",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454707",
            "telephone_number": "561-699-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CONGRESS PARK DR STE 180",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454707",
            "telephone_number": "561-699-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY MEDICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ERIBERTO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-699-8526"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.