Medicus Health Plan, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MEDICUS HEALTH PLAN, INC.

Practice address

6646 W Atlantic Ave
3Rd Floor Suite B
Delray Beach, FL 33446-1627

Phone

(561) 893-0651

Fax

(561) 893-0655

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Fernando M Lopez-Ivern, M.D./

Title

Manager

Phone

(561) 893-0655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1629456439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "SUITE 116",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281762",
            "telephone_number": "561-893-0651",
            "fax_number": "561-893-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6646 W ATLANTIC AVE",
            "address_2": "3RD FLOOR SUITE B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461627",
            "telephone_number": "561-893-0651",
            "fax_number": "561-893-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS HEALTH PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-IVERN",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-893-0655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D./"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.