NPIMap

Organization Active NPI

Rheumatology Center of Palm Beach PLLC

  • Rheumatology Physician
  • Lake Worth, FL
National Provider Identifier
1992269468
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RHEUMATOLOGY CENTER OF PALM BEACH PLLC
Practice address
3918 Via Poinciana Ste 2
Lake Worth, FL 33467-2991
Phone
(561) 969-1261
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Dr. Juan Jose Maya Villamizar, MDNPI 1144660291
Title
Owner
Phone
(216) 688-6996

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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

3918 Via Poinciana Ste 2
Lake Worth, FL 33467-2991

Mailing address

PO Box 8689
Jupiter, FL 33468-8689
Phone (561) 748-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190321002481 FL Part B Supplier - Clinic/Group Practice 9739429143 Receives reassigned benefits from 5 practitioners
Practice locations: Lake Worth, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1992269468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8689",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334688689",
            "telephone_number": "561-748-2889",
            "fax_number": "561-748-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA STE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-969-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY CENTER OF PALM BEACH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "MAYA VILLAMIZAR",
        "authorized_official_first_name": "JUAN JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-688-6996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.

Verify at the official NPI Registry.