Roberto Ernesto Tamayo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016292 Issued in FL

Practice address

3387 S Jog Rd Ste 101
Greenacres, FL 33467-2010

Phone

(561) 781-8080

Fax

(561) 781-8088

NPI assigned

Oct 27, 2021

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rech Clinic LLC

  dba Reyes Medical Center

  • Primary Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1518543776
  Medicare reassignment NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1598429326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 S JOG RD STE 101",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672010",
            "telephone_number": "561-781-8080",
            "fax_number": "561-781-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "ROBERTO",
        "middle_name": "ERNESTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Family Therapy and Mental Wellness Group LLC
• Synergy Health Partners LLC
• T&G Med Supplies LLC
• Karen Lorena Taborda
• Lizandra Tamayo Vila
• Dayane Tapias, LMHC
• Lainie Tarano
• Maria Taylor
• Nadine Tashshane Taylor, NURSE PRACTITIONER
• Paul Steven Taylor

• Family Nurse Practitioner in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.