Provider Demographics
NPI:1770592651
Name:MARIA A JURADO MD PA
Entity type:Organization
Organization Name:MARIA A JURADO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANTOINETA
Authorized Official - Last Name:JURADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-483-8990
Mailing Address - Street 1:9980 CENTRAL PARK BLVD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428
Mailing Address - Country:US
Mailing Address - Phone:561-483-8990
Mailing Address - Fax:561-483-9003
Practice Address - Street 1:9980 CENTRAL PARK BLVD
Practice Address - Street 2:SUITE 214
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428
Practice Address - Country:US
Practice Address - Phone:561-483-8990
Practice Address - Fax:561-483-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty