DR. JAVIER RICARDO (NPI# 1770536690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770536690 |
| Entity Type | Individual |
| Full Name | DR. JAVIER RICARDO |
| Credential | MD |
| Practice Address |
13335 Sw 124th St Suite 106 Miami FL 33186-7510 |
| Practice Telephone | 3052676774 |
| Practice Fax Number | 3052678482 |
| Mailing Telephone | 3052676774 |
| Mailing Fax Number | 3052678482 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME92030 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ME92030 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 28825 | 01 |
| FL | 273137100 | 05 |
| Street Address |
13335 SW 124TH ST SUITE 106 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952621724 | Mariela Negrin Lopez | Occupational Therapy Assistant | 13335 Sw 124th St, Miami, FL 33186-7510 | 2010-06-03 |
| 1225366115 | Walter W Amster | Speech-Language Pathologist | 13335 Sw 124th St, 102, Miami, FL 33186-7510 | 2009-12-03 |
| 1346477908 | Patricia R Bravo | Physical Therapist | 13335 Sw 124th St, 102, Miami, FL 33186-6418 | 2009-06-22 |
| 1366691941 | All Care Management Services, Inc. | Case Management | 13335 Sw 124th St, # 115, Miami, FL 33186-7510 | 2008-09-18 |
| 1255355665 | Javier Ricardo Md Pa | General Practice | 13335 Sw 124th St, Suite 106, Miami, FL 33186-7510 | 2006-07-27 |
| 1780623876 | New England Physicians, Inc | Preferred Provider Organization | 13335 Sw 124th St, Suite 105, Miami, FL 33186-7510 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| 1942815774 | Mocasa Wellness Center Inc | General Practice | 330 Sw 27th Ave Ste 506, Miami, FL 33135-2967 | 2020-09-09 |
| 1316550163 | Asela Infante Suarez | General Practice | 13450 Sw 97th Ct, Miami, FL 33176-6105 | 2020-08-30 |
| 1740890607 | Serenity Community Mental Healthcare, LLC | General Practice | 10300 Sw 72nd St Ste 250, Miami, FL 33173-3014 | 2020-08-05 |
| 1144841776 | Simplify Home Health Pllc | General Practice | 3301 Ne 1st Ave Apt 2906, Miami, FL 33137-4174 | 2020-05-05 |
| 1104447804 | Dr Jean Pierre LLC | General Practice | 5050 Biscayne Blvd, Miami, FL 33137-3203 | 2020-05-04 |
| 1891316105 | Jorge Luis Vega Morales | General Practice | 14760 Sw 66th St, Miami, FL 33193-2039 | 2020-04-28 |
| 1518587203 | Premium Healthcare Holdings, Lllp | General Practice | 2400 Sw 69th Ave, Miami, FL 33155-1706 | 2020-04-22 |
| 1770118416 | Guido A.perez, M.d., Inc. | General Practice | 701 Nw 57th Ave Ste 260, Miami, FL 33126-2083 | 2020-03-03 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.