Boca Raton Family and Pediatric Clinic PL

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME98571 Issued in FL

Legal business name

BOCA RATON FAMILY AND PEDIATRIC CLINIC PL

Practice address

19801 Hampton Dr
C1-2
Boca Raton, FL 33434-2840

Phone

(561) 477-2862

Fax

(561) 477-2864

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luis A Alvarez, M.D.NPI 1861412587

Title

Manager

Phone

(561) 477-2862

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis A Alvarez, M.D.

  • Adult Medicine Physician
  • Boca Raton, FL
  • NPI 1861412587
  Medicare reassignment Care Compare group NPD Authorized official
• Sandra Ramona Alvarez, M.D.

  • Pediatrics Physician
  • Boca Raton, FL
  • NPI 1881874931
  Medicare reassignment Care Compare group NPD
• Timothy John Coke, MD

  • Family Medicine Physician
  • Boca Raton, FL
  • NPI 1659447241
  NPD (past)
• Vanessa Coronel De Barros, APRN

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1487529939
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1740460682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 HAMPTON DR",
            "address_2": "C1-2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342840",
            "telephone_number": "561-477-2862",
            "fax_number": "561-477-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 HAMPTON DR",
            "address_2": "C1-2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342840",
            "telephone_number": "561-477-2862",
            "fax_number": "561-477-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON FAMILY AND PEDIATRIC CLINIC PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-477-2862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98571",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98037",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME97494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.