Eduardo F Borges, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0056012 Issued in FL

Practice address

1700 SE Hillmoor Dr
Suite 501
Port Saint Lucie, FL 34952-7539

Phone

(772) 335-1313

Fax

(772) 335-1315

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1952395360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8390",
            "address_2": "SUITE A",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349858390",
            "telephone_number": "772-398-5339",
            "fax_number": "772-337-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "address_2": "SUITE 501",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-335-1313",
            "fax_number": "772-335-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES",
        "first_name": "EDUARDO",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0056012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260642900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Bolden, LMHC
• Wesley Bolitho, MS, CCC-SLP
• Kyle Boltson
• Yonahil M Bonalde
• Bonnie's Group Hpme
• Artem Borisov
• Sean Borman
• Morgan Frances Bos, MMS, PA-C
• Maureen Bosco, CRNA
• Latifa Boukarrou, MD

• Specialist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.