Active NPI
Serinus Medcare PA
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1740827500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SERINUS MEDCARE PA
- Practice address
- 648 NE 25TH Way
Fort Lauderdale, FL 33304-3530 - Phone
- (703) 470-4112
- NPI assigned
- Nov 28, 2019
- Last updated
- Mar 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fernando Salgado
- Title
- Authorized Official
- Phone
- (703) 470-4112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
648 NE 25TH Way
Fort Lauderdale, FL 33304-3530
Mailing address
648 NE 25TH Way
Fort Lauderdale, FL 33304-3530
Phone (703) 470-4112
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585267200000",
"number": "1740827500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 NE 25TH WAY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043530",
"telephone_number": "703-470-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 NE 25TH WAY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043530",
"telephone_number": "703-470-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERINUS MEDCARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-28",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A",
"authorized_official_last_name": "SALGADO",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "703-470-4112"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.