RODRIGUE TERTUS P.A. NPI 1285840264

NPI Information

NPI: 1285840264
Provider Name: RODRIGUE TERTUS, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
10752 EMILIA ISLES TER
BOYNTON BEACH, FL
ZIP 33473
Phone: (561) 739-8665
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Rodrigue Tertus, P.A. is a surgical physician assistant in Boynton Beach, FL. Rodrigue Tertus, P.A. NPI is 1285840264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10752 EMILIA ISLES TER
BOYNTON BEACH, FL
ZIP 33473-965
Phone: (561) 739-8665

The NPI 1285840264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 10/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2279G1100X	Respiratory Therapist, Registered	General Care	43ZA00065700	NEW JERSEY	No
2	363AS0400X	Physician Assistant	Surgical	25MP00078700	NEW JERSEY	No
3	363AS0400X	Physician Assistant	Surgical	PA9107169	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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