DELRAY TRAUMA ASSOCIATES, LLC – Specialist, NPI 1013166248

DELRAY TRAUMA ASSOCIATES, LLC is a healthcare provider. based in Fort lauderdale, Florida. specializing in Specialist. The organization holds a License No. ME55971 (FL). The NPI Number for DELRAY TRAUMA ASSOCIATES, LLC is 1013166248

Main info

Organization
Name
DELRAY TRAUMA ASSOCIATES, LLC
NPI
1013166248
Phone
(954) 491-0900
Address
2800 E Commercial Blvd Ste 102
Authorized Official
DR. IVAN PUENTE PRESIDENT M.D.
Enumeration Date
11 September 2008
Last Update Date
30 May 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for DELRAY TRAUMA ASSOCIATES, LLC

  • 2800 E Commercial Blvd Ste 102

    Fort Lauderdale, FL 333084202

    Phone: (954) 491-0900

    Fax: (954) 491-1306

    Type: Location

  • Linton Boulevard, Rainbow Homes, Delray Beach, Palm Beach County, Florida, 33444, United States

    TRAUMA SERVICES

    DELRAY BEACH, FL 334846514

    Phone: (561) 495-3166

    Type: Location

  • PO BOX 480159

    FORT LAUDERDALE, FL 333480159

    Phone: (954) 491-0900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (342 days ago).

Enrollment records

1

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20130510000511OClinic/Group PracticeFL2025-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33308)

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Reviews

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Frequently asked questions

What number should I use to identify DELRAY TRAUMA ASSOCIATES, LLC for billing?
Administrative and clinical systems typically use NPI 1013166248 for DELRAY TRAUMA ASSOCIATES, LLC.
Does the public listing show DELRAY TRAUMA ASSOCIATES, LLC as active?
DELRAY TRAUMA ASSOCIATES, LLC's NPI record reflects an active status in NPPES.
What type of care does DELRAY TRAUMA ASSOCIATES, LLC provide?
DELRAY TRAUMA ASSOCIATES, LLC's profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DELRAY TRAUMA ASSOCIATES, LLC?
DELRAY TRAUMA ASSOCIATES, LLC is associated with Fort Lauderdale, Florida in the same public data insurers reference.
Can I export DELRAY TRAUMA ASSOCIATES, LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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