Ciriaco A Borroto, M.D.
Individual provider Active NPI Family Medicine Physician · Melrose, FL
NPI 1952425001 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1952425001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME28392 (FL)
- Practice address
- 1745 State Road 100
Melrose, FL 32666-3146 - Phone
- (352) 478-2471
- Fax
- (352) 478-2496
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28392 | FL | MD | Dentist |
| ME28392 | FL | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME28392 | FL | |
| Family Medicine Physician | 207Q00000X | ME28392 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056526100 | Medicaid | FL | |
| 002209700 | Medicaid | FL | |
| ME28392 | Other | ME NUMBER |
Other providers in Melrose, FL
- Tory Basilis
- Heidi Bintzler
- Doreen Blischak
- Bridgeway Agency, LLC
- Danielle Brown
- Betty Jean Burnett
- Canaide Inc
- Zuleidy Castro Sanchez
All providers in Melrose, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.