Organization Active NPI

Visiting Pro Medical Services LLC

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1912372624
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME83434 Issued in FL
Legal business name
VISITING PRO MEDICAL SERVICES LLC
Practice address
1015 Miramar Dr
Delray Beach, FL 33483-6927
Phone
(561) 926-0083
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Mario Masserano, MDNPI 1154416972
Title
Owner
Phone
(561) 926-0083

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME83434 FL Primary

Addresses

Primary practice location

1015 Miramar Dr
Delray Beach, FL 33483-6927

Mailing address

1015 Miramar Dr
Delray Beach, FL 33483-6927
Phone (561) 926-0083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718002423 FL Part B Supplier - Clinic/Group Practice 5890088512 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Boynton Beach, FL; Delray Beach, FL

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": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1912372624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MIRAMAR DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836927",
            "telephone_number": "561-926-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MIRAMAR DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836927",
            "telephone_number": "561-926-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING PRO MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "MASSERANO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-926-0083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.