Active NPI
Jag Medical of Palm Beach PA
- Family Medicine Physician
- Lake Worth, FL
National Provider Identifier
1881910073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0005893
- Legal business name
- JAG MEDICAL OF PALM BEACH PA
- Practice address
- 6169 S Jog Rd
Ste 4B
Lake Worth, FL 33467-6514 - Phone
- (561) 432-5101
- Fax
- (561) 432-1914
- NPI assigned
- Apr 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pedro A Sanchez, DO
- Title
- Medical Doctor
- Phone
- (561) 432-5101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0005893 | FL | Primary |
Addresses
Primary practice location
6169 S Jog Rd
Ste 4B
Lake Worth, FL 33467-6514
Mailing address
6169 S Jog Rd
Ste 4B
Lake Worth, FL 33467-6514
Phone (561) 432-5101
National Provider Directory
National Provider DirectoryLocations
6169 S Jog Rd
Ste B4
Lake Worth, FL 33467
Phone (561) 229-1099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315958400000",
"number": "1881910073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6169 S JOG RD",
"address_2": "STE 4B",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676514",
"telephone_number": "561-432-5101",
"fax_number": "561-432-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6169 S JOG RD",
"address_2": "STE 4B",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676514",
"telephone_number": "561-432-5101",
"fax_number": "561-432-1914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAG MEDICAL OF PALM BEACH PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-13",
"last_updated": "2011-09-14",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "PEDRO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "561-432-5101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0005893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.