Healthcare Provider Details

I. General information

NPI: 1689555682
Provider Name (Legal Business Name): CLAUDIA MARCELA BORREGO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR
WEST PALM BEACH FL
33401-3404
US

IV. Provider business mailing address

3005 POOLSIDE DR
GREENACRES FL
33463-2651
US

V. Phone/Fax

Practice location:
  • Phone: 561-833-0770
  • Fax:
Mailing address:
  • Phone: 561-833-0770
  • Fax: 561-659-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11041270
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: