MEDICARE: JOSE LUIS PROENZA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	ME62386	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26491	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1427047836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE LUIS PROENZA MD

Provider Business Mailing Address
First Line	:	210 JUPITER LAKES BLVD
Second Line	:	BUILDING 3000 SUITE 106
City	:	JUPITER
State	:	FL
Zip	:	33458-7191
Country	:	US
Telephone Number	:	561-746-6300
Fax Number	:	561-746-6376

Provider Business Practice Location Address
First Line	:	210 JUPITER LAKES BLVD
Second Line	:	BUILDING 3000 SUITE 106
City	:	JUPITER
State	:	FL
Zip	:	33458-7191
Country	:	US
Telephone Number	:	561-746-6300
Fax Number	:	561-746-6376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1982691614 — COMMUNITY SURGICAL SPECIALISTS P.A.
Practice Location Address:

210 JUPITER LAKES BLVD , 3105
JUPITER, FL
33458-7191

Practice Phone: 561-575-7875
Practice Fax: 561-575-5874

1871589598 — RONALD STUART ZELNICK M.D.
Practice Location Address:

210 JUPITER LAKES BLVD , 3105
JUPITER, FL
33458-7191

Practice Phone: 561-575-7875
Practice Fax: 561-575-5874

1568459246 — DR. JOHN C LI M.D.
Practice Location Address:

210 JUPITER LAKES BLVD , STE. 5105
JUPITER, FL
33458-7191

Practice Phone: 561-748-4445
Practice Fax: 561-748-4449

1962490573 — DR. THOMAS EDWARD LIPIN III MD
Practice Location Address:

210 JUPITER LAKES BLVD , SUITE 3202
JUPITER, FL
33458-7191

Practice Phone: 561-746-2114
Practice Fax: 561-746-9583

1528056884 — DR. STEVEN LEONARD SCHNELL MD
Practice Location Address:

210 JUPITER LAKES BLVD , STE 3104
JUPITER, FL
33458-7191

Practice Phone: 561-747-4994
Practice Fax: 561-575-9104

1972577872 — JOHN C LI MD PA
Practice Location Address:

210 JUPITER LAKES BLVD , STE. 5105
JUPITER, FL
33458-7191

Practice Phone: 561-748-4445
Practice Fax: 561-748-4449

Directions to “ JOSE LUIS PROENZA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.