Ronoel Penalver Mdpa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RONOEL PENALVER MDPA

Practice address

10081 Pines Blvd Ste B
Pembroke Pnes, FL 33024-6171

Phone

(954) 251-1175

Fax

(954) 842-3332

NPI assigned

Mar 17, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronoel Penalver, MDNPI 1083054324

Title

MD/Owner

Phone

(954) 852-5485

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Ronoel Penalver, M.D

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1083054324
  Medicare reassignment NPD Authorized official
• Jose I Del Risco

  • Family Nurse Practitioner
  • Doral, FL
  • NPI 1639773377
  NPD (past)
• Nayvis Iglesias, MD

  • Family Medicine Physician
  • Doral, FL
  • NPI 1003002817
  NPD (past)
• Miguel R Mustelier

  • Technician
  • Doral, FL
  • NPI 1750793733
  NPD (past)

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1750039863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 WESTON RD STE 381",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313141",
            "telephone_number": "954-251-1175",
            "fax_number": "954-842-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 PINES BLVD STE B",
            "city": "PEMBROKE PNES",
            "state": "FL",
            "postal_code": "330246171",
            "telephone_number": "954-251-1175",
            "fax_number": "954-842-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONOEL PENALVER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "PENALVER",
        "authorized_official_first_name": "RONOEL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "954-852-5485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106009400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drpenalvermdpa@gmail.com",
            "affiliation": "N",
            "endpointDescription": "direct practice email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10081 Pines Blvd Ste B",
            "city": "Pembroke Pnes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330246171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Karen Kuayen Perdomo

• Internal Medicine Physician in Pembroke Pnes, FL
• Providers in Pembroke Pnes, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.