Healthcare Provider Details

I. General information

NPI: 1295206589
Provider Name (Legal Business Name): PAOLA ANDREA D'ALEMAN POVEDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2018
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 NW SPANISH RIVER BLVD STE 101
BOCA RATON FL
33431-4217
US

IV. Provider business mailing address

190 NW SPANISH RIVER BLVD STE 101
BOCA RATON FL
33431-4217
US

V. Phone/Fax

Practice location:
  • Phone: 561-288-2445
  • Fax: 561-359-1787
Mailing address:
  • Phone: 561-288-2445
  • Fax: 561-359-1787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number190820
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberME0163103
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberME0163103
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: