Organization Active NPI

Jag Medical of Palm Beach PA

  • Family Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1881910073
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005893 Issued in FL
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

Updated by the provider on Sep 14, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.