Organization Active NPI

Greenbrook Medical Corp

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1790365963
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GREENBROOK MEDICAL CORP
Practice address
134 NW 16TH St Ste 5
Boca Raton, FL 33432-1691
Phone
(561) 757-5819
NPI assigned
Apr 12, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Henry Sanabria Jr.
Title
Owner
Phone
(561) 757-5819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

134 NW 16TH St Ste 5
Boca Raton, FL 33432-1691

Mailing address

134 NW 16TH St Ste 5
Boca Raton, FL 33432-1691
Phone (561) 757-5819

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

134 NW 16th St
Ste 5
Boca Raton, FL 33432
Phone (561) 757-5819

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1790365963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 NW 16TH ST STE 5",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321691",
            "telephone_number": "561-757-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 NW 16TH ST STE 5",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321691",
            "telephone_number": "561-757-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "SANABRIA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-757-5819",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.