NPIMap

Organization Active NPI

Rebeca Ray-Gillis DPM, PLLC

  • Podiatric Clinic/Center
  • Hollywood, FL
National Provider Identifier
1801449293
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
REBECA RAY-GILLIS DPM, PLLC
Practice address
3314 W Park Rd
Hollywood, FL 33021-4337
Phone
(954) 290-2406
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Rebeca Ray-Gillis, DPMNPI 1215423991
Title
Manager
Phone
(954) 290-2406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

3314 W Park Rd
Hollywood, FL 33021-4337

Mailing address

3314 W Park Rd
Hollywood, FL 33021-4337
Phone (954) 290-2406

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1801449293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 W PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214337",
            "telephone_number": "954-290-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 W PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214337",
            "telephone_number": "954-290-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECA RAY-GILLIS DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "RAY-GILLIS",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-290-2406",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

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