Organization Active NPI

Nazareno Family Clinic

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1902614266
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NAZARENO FAMILY CLINIC
Practice address
16408 Bonneville Dr
Tampa, FL 33624-1117
Phone
(602) 384-8913
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Enrique Torralba Sanchez
Title
Nurse Practitioner
Phone
(602) 384-8913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

16408 Bonneville Dr
Tampa, FL 33624-1117

Mailing address

16408 Bonneville Dr
Tampa, FL 33624-1117
Phone (602) 384-8913

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1902614266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16408 BONNEVILLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241117",
            "telephone_number": "602-384-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16408 BONNEVILLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241117",
            "telephone_number": "602-384-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARENO FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "TORRALBA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "602-384-8913"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.