DR. EDGAR TUGAOEN DE PERALTA (NPI# 1679768501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679768501 |
| Entity Type | Individual |
| Full Name | DR. EDGAR TUGAOEN DE PERALTA |
| Credential | MD |
| Practice Address |
255 Evernia St #311 West Palm Beach FL 33401-5678 |
| Mailing Address |
11011 Mccormick Rd Suite 200 Hunt Valley MD 21031-8656 |
| Practice Telephone | 4106662588 |
| Practice Fax Number | 4434030646 |
| Mailing Telephone | 4106662588 |
| Mailing Fax Number | 4434030646 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2012-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
60242297 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME 107665 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 60242297 | NY | Student, Health Care |
| Street Address |
255 EVERNIA ST #311 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-5678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275990673 | Bcmb Enterprises, Inc. | Home Health | 255 Evernia St, #ph11, West Palm Beach, FL 33401-5678 | 2016-01-15 |
| 1053680629 | Joseph Pokladowski | Specialist | 255 Evernia St, West Palm Beach, FL 33401-5678 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952421398 | Nisha P Chhabria | Psychiatry & Neurology | 4631 North Congress Ave, Suite 200, West Palm Beach, FL 33407-3234 | 2007-03-30 |
| 1821133950 | Palm Beach Neurology | Psychiatry & Neurology | 4631 Noth Congress Ave, 200, West Palm Beach, FL 33407 | 2007-02-20 |
| 1558380998 | Jeffrey P Glass | Psychiatry & Neurology | 10772 Grande Blvd, West Palm Beach, FL 33412-1300 | 2006-07-18 |
| 1538129796 | Adolfo Navarro Millan | Psychiatry & Neurology | 5601 Corporate Way, Suite 301, West Palm Beach, FL 33407-2025 | 2006-03-23 |
| 1265876692 | Marvin Mordes, M.d., P.a. | Psychiatry & Neurology | 4920 Loring Dr, West Palm Beach, FL 33417-8052 | 2013-04-29 |
| 1205129590 | Muneer Naji Hassan | Psychiatry & Neurology | 901 Village Blvd Ste 702, West Palm Beach, FL 33409-1947 | 2011-05-19 |
| 1225206139 | Palm Beach Neurology | Psychiatry & Neurology | 5305 Greenwood Ave, Suite 102, West Palm Beach, FL 33407-2451 | 2008-02-13 |
| 1831377308 | Palm Beach Neurology | Psychiatry & Neurology | 2151 45th St, Suite 104, West Palm Beach, FL 33407-2026 | 2008-02-06 |
| 1326226812 | Palm Beach Neurology | Psychiatry & Neurology | 1411 N Flagler Dr, Suite 9700, West Palm Beach, FL 33401-3404 | 2008-02-06 |
| 1609065507 | Juan C Muniz Garcia | Psychiatry & Neurology | 901 Village Blvd, Ste 702, West Palm Beach, FL 33409-1947 | 2007-10-17 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on DR. EDGAR TUGAOEN DE PERALTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.