Active NPI
R A Henriques, M.D.
- Internal Medicine Physician
- Cocoa, FL
National Provider Identifier
1043323231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME41259
- Practice address
- 503 Delannoy Ave
Cocoa, FL 32922-7813 - Phone
- (321) 631-6995
- Fax
- (321) 633-1004
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME41259 | FL | Primary |
Addresses
Primary practice location
503 Delannoy Ave
Cocoa, FL 32922-7813
Mailing address
503 Delannoy Ave
Cocoa, FL 32922-7813
Phone (321) 631-6995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME41259 | Other | FL | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924001172 | FL | Practitioner - Internal Medicine | 6800912023 | Practice locations: Cocoa, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
503 Delannoy Ave
Cocoa, FL 32922-7813
Phone (321) 631-6995
Hospital & facility affiliations
- Health First Home Care
- Cape Canaveral Hospital
- Parrish Medical Center
- Viera Hospital
- Orlando Health Melbourne Hospital
- Holmes Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soriano Physician Services PLLC | Internal Medicine | Past | Accepting new patients |
| Ricardo Antonio Henriques M.D. | Internal Medicine | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Cocoa, FL
- NPI 1043600216
-
- Internal Medicine Physician
- Rockledge, FL
- NPI 1093203531
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- Home Health Agency
- Melbourne, FL
- NPI 1922006956
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1043323231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 DELANNOY AVE",
"city": "COCOA",
"state": "FL",
"postal_code": "329227813",
"telephone_number": "321-631-6995",
"fax_number": "321-633-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 DELANNOY AVE",
"city": "COCOA",
"state": "FL",
"postal_code": "329227813",
"telephone_number": "321-631-6995",
"fax_number": "321-633-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIQUES",
"first_name": "R",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME41259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "ME41259",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.