Healthcare Provider Details

I. General information

NPI: 1689585424
Provider Name (Legal Business Name): DERO PAIN SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NW 9TH CT STE 103
BOCA RATON FL
33486-2268
US

IV. Provider business mailing address

1000 NW 9TH CT STE 103
BOCA RATON FL
33486-2268
US

V. Phone/Fax

Practice location:
  • Phone: 561-221-2236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAVIER SANCHEZ MARTINEZ
Title or Position: MBR
Credential: MD
Phone: 561-221-2236