Organization Active NPI

Delray Center for Integrative Medicine PA

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Delray Beach, FL
National Provider Identifier
1548648397
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
ME78266 Issued in FL
Legal business name
DELRAY CENTER FOR INTEGRATIVE MEDICINE PA
Practice address
302 SE 2ND St
Delray Beach, FL 33483-4506
Phone
(561) 332-1176
Fax
(561) 266-0033
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Raul Rodriguez, M.D.NPI 1467475913
Title
President
Phone
(561) 266-8866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW9647 FL
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X ME78266 FL Primary

Addresses

Primary practice location

302 SE 2ND St
Delray Beach, FL 33483-4506

Mailing address

403 SE 1St St
Delray Beach, FL 33483-4540
Phone (561) 332-1776

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2273166Delray Center for Integrative Medicine, PA302 SE 2ND Street, Delray Beach, FL 33483Certificate of waiverDec 6, 2026

National Provider Directory

National Provider Directory

Locations

302 SE 2nd St
Delray Beach, FL 33483
Phone (561) 332-1176

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": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1548648397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SE 1ST ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834540",
            "telephone_number": "561-332-1776",
            "fax_number": "561-266-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SE 2ND ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834506",
            "telephone_number": "561-332-1176",
            "fax_number": "561-266-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY CENTER FOR INTEGRATIVE MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-266-8866",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9647",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME78266",
            "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 Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.