Individual provider Active NPI

Ciriaco A Borroto, M.D.

  • Family Medicine Physician
  • Melrose, FL
National Provider Identifier
1952425001
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME28392 Issued in FL
Practice address
1745 State Road 100
Melrose, FL 32666-3146
Phone
(352) 478-2471
Fax
(352) 478-2496
NPI assigned
Mar 16, 2007
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME28392 FL
Family Medicine Physician 207Q00000X ME28392 FL Primary

Addresses

Primary practice location

1745 State Road 100
Melrose, FL 32666-3146

Mailing address

1745 State Road 100
Melrose, FL 32666-3146
Phone (352) 478-2471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28392FLMDDentist
ME28392FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1952425001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 STATE ROAD 100",
            "city": "MELROSE",
            "state": "FL",
            "postal_code": "326663146",
            "telephone_number": "352-478-2471",
            "fax_number": "352-478-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 STATE ROAD 100",
            "city": "MELROSE",
            "state": "FL",
            "postal_code": "326663146",
            "telephone_number": "352-478-2471",
            "fax_number": "352-478-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORROTO",
        "first_name": "CIRIACO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME28392",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME28392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.