Antonia Boada de Tineo, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9586197 Issued in FL

Practice address

2501 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4818

Phone

(954) 932-0120

Fax

(954) 932-0119

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• FB Health Solutions

  • Urgent Care Clinic/Center
  • Hallandale Beach, FL
  • NPI 1528691961
  NPD
• Forest Drive Physicians

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1740590157
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1811643240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094818",
            "telephone_number": "954-932-0120",
            "fax_number": "954-932-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094818",
            "telephone_number": "954-932-0120",
            "fax_number": "954-932-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADA DE TINEO",
        "first_name": "ANTONIA",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9586197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Block & Jacobs PA
• Barry R. Block, D.P.M.
• Julia Isabel Bloom, LMFT
• Blossoming Gardens LLC
• Bluebird Therapy Center, LLC
• Dina Bobrova, DMD
• Otilia Bodnar, M.S. CCC-SLP
• Aaron E Boorstein, M.D.
• Borrego Medical Services, Inc.
• Kevin Bortnick, OTD, OT/L

• Registered Nurse in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.