JOSE LUIS PROENZA MD NPI 1427047836

NPI Information

  • NPI: 1427047836
  • Provider Name: JOSE LUIS PROENZA, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 210 JUPITER LAKES BLVD
    BUILDING 3000 SUITE 106
    JUPITER, FL
    ZIP 33458
  • Phone: (561) 746-6300

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NPI Details

Jose Luis Proenza, MD is a gastroenterology internal medicine in Jupiter, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Jose Luis Proenza, MD NPI is 1427047836. 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:

210 JUPITER LAKES BLVD
BUILDING 3000 SUITE 106
JUPITER, FL
ZIP 33458-191
Phone: (561) 746-6300
Fax: (561) 746-6376

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/8/2007.

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
1207RG0100XInternal MedicineGastroenterologyME62386FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126491AMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2F96631MEDICARE UPIN
326491OTHERFLORIDABLUE CROSS BLUE SHIELD

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: 3/30/2025

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