Organization Active NPI

Cristian J Presutti M.D. , P.L.

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1780938241
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME71579 Issued in FL
Legal business name
CRISTIAN J PRESUTTI M.D. , P.L.
Practice address
1701 SE Hillmoor Dr
Suite # 7
Port St Lucie, FL 34952-7552
Phone
(772) 398-9808
Fax
(772) 398-0407
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Cristian Joseph Presutti, M.D.
Title
Owner/Operator
Phone
(772) 398-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME71579 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr
Suite # 7
Port St Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr
Suite # 7
Port St Lucie, FL 34952-7552
Phone (772) 398-9808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1780938241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE # 7",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-398-9808",
            "fax_number": "772-398-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE # 7",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-398-9808",
            "fax_number": "772-398-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTIAN J PRESUTTI M.D. , P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "PRESUTTI",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "772-398-9808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME71579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.