Organization Active NPI

Medical Anti-Aging

  • Secured Medical Transport (VAN)
  • Boca Raton, FL
National Provider Identifier
1942668264
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
MEDICAL ANTI-AGING
Practice address
6559 Pond Apple Rd
Boca Raton, FL 33433-1928
Phone
(561) 613-3707
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Mr. Marc Teruel
Title
Owner
Phone
(561) 613-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

6559 Pond Apple Rd
Boca Raton, FL 33433-1928

Mailing address

6559 Pond Apple Rd
Boca Raton, FL 33433-1928
Phone (561) 613-3707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1942668264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 POND APPLE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331928",
            "telephone_number": "561-613-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 POND APPLE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331928",
            "telephone_number": "561-613-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ANTI-AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "TERUEL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-613-3707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.