Organization Active NPI

Jordan & Prieto PA

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1598949828
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME34072 Issued in FL
Legal business name
JORDAN & PRIETO PA
Practice address
4302 W Broward Blvd Ste 200
Plantation, FL 33317-3700
Phone
(954) 583-0778
Fax
(954) 583-8140
NPI assigned
Dec 21, 2007
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Octavio Enrique Prieto, M.D,
Title
President
Phone
(954) 583-0778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME34072 FL Primary

Addresses

Primary practice location

4302 W Broward Blvd Ste 200
Plantation, FL 33317-3700

Mailing address

4302 W Broward Blvd Ste 200
Plantation, FL 33317-3700
Phone (954) 583-0778

National Provider Directory

National Provider Directory

Locations

4302 W Broward Blvd
#200
Plantation, FL 33317
Phone (954) 583-0778

4302 W Broward Blvd
Ste 200
Plantation, FL 33317
Phone (954) 583-0778

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1598949828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 W BROWARD BLVD STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173700",
            "telephone_number": "954-583-0778",
            "fax_number": "954-583-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W BROWARD BLVD STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173700",
            "telephone_number": "954-583-0778",
            "fax_number": "954-583-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN & PRIETO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-583-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME34072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.