Dos of Palm Beach, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1266096 Issued in FL

Legal business name

DOS OF PALM BEACH, INC.

Practice address

1101 54 Street
West Palm Beach, FL 33407-2419

Phone

(561) 844-8401

Fax

(561) 842-4658

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jorge R Hernando

Title

Cfo

Phone

(561) 844-8401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Beach Shores Nursing and Subacute Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679667158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 54 STREET",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072419",
            "telephone_number": "561-844-8401",
            "fax_number": "561-842-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 54 STREET",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072419",
            "telephone_number": "561-844-8401",
            "fax_number": "561-842-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOS OF PALM BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-844-8401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1266096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "N53",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Shores Nursing and Subacute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Smith Dorval
• Gilma Dorvil
• Kemline Metellus Dorvil, NP-C
• Roselene Dorvilus
• Natalie Dory
• Victoria Dos Santos, OT
• Suzie Auguste Dottin, COTA
• Marisa R Dotts, LCSW
• Diane A Doucet, PHD
• Robert Barry Doueck, MSW

• Skilled Nursing Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.