Healthcare Provider Details

I. General information

NPI: 1952472920
Provider Name (Legal Business Name): JORGE M. WECER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10817 S JOG RD STE 230
BOYNTON BEACH FL
33437-0912
US

IV. Provider business mailing address

10817 S JOG RD STE 230
BOYNTON BEACH FL
33437-0912
US

V. Phone/Fax

Practice location:
  • Phone: 561-634-8888
  • Fax: 561-634-8998
Mailing address:
  • Phone: 561-634-8888
  • Fax: 561-634-8998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME140296
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA41357
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: