Active NPI
Maria Carlota Sanjorge, M.D.
- Pediatrics Physician
- Palm Beach Gardens, FL
National Provider Identifier
1992863740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 49290
- Practice address
- 2560 Rca Blvd Ste 113
Palm Beach Gardens, FL 33410-3337 - Phone
- (561) 626-5790
- Fax
- (561) 626-6205
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 49290 | FL | Primary |
Addresses
Primary practice location
2560 Rca Blvd Ste 113
Palm Beach Gardens, FL 33410-3337
Mailing address
1070 Siena Oaks Cir E
Palm Beach Gardens, FL 33410-5134
Phone (561) 627-1442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003050900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110215000796 | FL | Practitioner - Pediatric Medicine | 9830379353 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 49290 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1992863740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 SIENA OAKS CIR E",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334105134",
"telephone_number": "561-627-1442",
"fax_number": "561-626-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 RCA BLVD STE 113",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103337",
"telephone_number": "561-626-5790",
"fax_number": "561-626-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANJORGE",
"first_name": "MARIA",
"middle_name": "CARLOTA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 49290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003050900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.