Active NPI
Raul C Mejia, MD
- Student in an Organized Health Care Education/Training Program
- West Palm Beach, FL
National Provider Identifier
1689853707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1411 No Flagler Drive
Suite 5600
West Palm Beach, FL 33401 - Phone
- (561) 832-3176
- Fax
- (561) 694-8688
- NPI assigned
- Oct 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1411 No Flagler Drive
Suite 5600
West Palm Beach, FL 33401
Mailing address
1411 No Flagler Drive
Suite 5600
West Palm Beach, FL 33401
Phone (561) 832-3176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1689853707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 NO FLAGLER DRIVE",
"address_2": "SUITE 5600",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "561-832-3176",
"fax_number": "561-694-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 NO FLAGLER DRIVE",
"address_2": "SUITE 5600",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "561-832-3176",
"fax_number": "561-694-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "RAUL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.