Active NPI
Visiting Pro Medical Services LLC
- Internal Medicine Physician
- Delray Beach, FL
National Provider Identifier
1912372624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME83434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mario Masserano, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1154416972
FL, Internal Medicine
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.