Individual provider Active NPI

Edwin J. Parrilla, M.D

  • General Practice Physician
  • Royal Palm Beach, FL
National Provider Identifier
1710306642
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME130156 Issued in FL
Practice address
1440 Royal Palm Beach Blvd Ste a
Royal Palm Beach, FL 33411-1608
Phone
(561) 784-4481
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME130156 FL Primary

Addresses

Primary practice location

1440 Royal Palm Beach Blvd Ste a
Royal Palm Beach, FL 33411-1608

Mailing address

1204 Main St Ste 104
Jupiter, FL 33458-5283
Phone (561) 462-2242

Other practice location 1

1209 Main St Ste 104
Jupiter, FL 33458-5244
Phone (561) 462-2242

Other practice location 2

1025 E 25th St
Hialeah, FL 33013-3703
Phone (305) 696-0842

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edwin.parrilla.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190215000835 FL Practitioner - General Practice 1153669254 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Puerto Rico School of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians
Family Medical Group Kendall LLCGroup PAC ID 2961763586, 3 clinicians

Practice addresses (Care Compare)

1440 Royal Palm Beach Blvd
Suite Aandb
Royal Palm Beach, FL 33411-1608
Phone (561) 784-4481

9000 SW 137TH Ave
Suite 107
Miami, FL 33186-1435
Phone (305) 603-7824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME130156FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Age Medical Aesthetics General Practice CurrentSince Jul 25, 2025 Accepting new patients
Metcare of Florida, Inc CurrentSince Mar 1, 2021 Accepting new patients
Parrilla MD Consulting, LLC General Practice Current Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince Aug 1, 2024 Accepting new patients
Metcare of Florida, Inc CurrentSince Mar 1, 2021 Accepting new patients
Parrilla MD LLC General Practice Current Accepting new patients

Locations

18901 SW 106th Ave
Ste A109
Cutler Bay, FL 33157
Phone (305) 964-5980

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

1204 Main St
Ste 104
Jupiter, FL 33458
Phone (561) 462-2242

875 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 746-2411

875 Military Trl
Ste 208
Jupiter, FL 33458
Phone (561) 242-9646

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986
Phone (772) 877-3591

1700 SE Hillmoor Dr
Ste 500
Port St Lucie, FL 34952
Phone (772) 335-3200

1440 Royal Palm Beach Blvd
Ste A
Royal Palm Beach, FL 33411
Phone (561) 784-4481

1440 Royal Palm Beach Blvd
Ste Ab
Royal Palm Beach, FL 33411
Phone (561) 784-4481

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1710306642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAIN ST STE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585283",
            "telephone_number": "561-462-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROYAL PALM BEACH BLVD STE A",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111608",
            "telephone_number": "561-784-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334585244",
            "country_code": "US",
            "telephone_number": "561-462-2242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133703",
            "country_code": "US",
            "telephone_number": "305-696-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRILLA",
        "first_name": "EDWIN",
        "middle_name": "J.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME130156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwin.parrilla.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1440 Royal Palm Beach Blvd Ste A",
            "city": "Royal Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334111608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.