New Service Pain Lejandro Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC7558 Issued in FL

Legal business name

NEW SERVICE PAIN LEJANDRO INC

Practice address

224 Datura St
Suite 200
West Palm Beach, FL 33401-5624

Phone

(305) 509-0602

Fax

(305) 675-2668

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By 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

Mr. Alejandro Rivas

Title

President

Phone

(305) 509-0602

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770607178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 DATURA ST",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015624",
            "telephone_number": "305-509-0602",
            "fax_number": "305-675-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 DATURA ST",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015624",
            "telephone_number": "305-509-0602",
            "fax_number": "305-675-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SERVICE PAIN LEJANDRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-509-0602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC7558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.