Cornerstone of the Palm Beaches,Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CORNERSTONE OF THE PALM BEACHES,INC.

Practice address

1551 Forum PL
BLDG #400 Suite-D
West Palm Beach, FL 33401-2319

Phone

(561) 623-7106

Fax

(561) 623-7976

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Marco Antonio Rodriguez-Diaz Sr.

Title

Ceo

Phone

(317) 671-4540

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1801287842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 FORUM PL",
            "address_2": "BLDG #400 SUITE-D",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012319",
            "telephone_number": "561-623-7106",
            "fax_number": "561-623-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 FORUM PL",
            "address_2": "BLDG #400 SUITE-D",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012319",
            "telephone_number": "561-623-7106",
            "fax_number": "561-623-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE OF THE PALM BEACHES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-DIAZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-671-4540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156122-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.