Organization Active NPI

Swca Rheumatology LLC

  • Rheumatology Physician
  • Hallandale Beach, FL
National Provider Identifier
1679187744
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SWCA RHEUMATOLOGY LLC
Practice address
1250 E Hallandale Beach Blvd Ste 605
Hallandale Beach, FL 33009-4638
Phone
(954) 456-8900
Fax
(954) 457-9118
NPI assigned
Sep 4, 2020
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Christian Gonzalez, MD
Title
MD
Phone
(954) 456-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1250 E Hallandale Beach Blvd Ste 605
Hallandale Beach, FL 33009-4638

Mailing address

1250 E Hallandale Beach Blvd Ste 605
Hallandale Beach, FL 33009-4638
Phone (954) 456-8900

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1679187744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 605",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094638",
            "telephone_number": "954-456-8900",
            "fax_number": "954-457-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 605",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094638",
            "telephone_number": "954-456-8900",
            "fax_number": "954-457-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWCA RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-456-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.