Organization Active NPI

Serinus Medcare PA

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1740827500
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.