Organization Active NPI

Ricardo Antonio Henriques M.D.

  • Internal Medicine Physician
  • Cocoa, FL
National Provider Identifier
1043600216
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RICARDO ANTONIO HENRIQUES M.D.
Practice address
503 Delannoy Ave
Cocoa, FL 32922-7813
Phone
(321) 631-6995
Fax
(321) 633-1004
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ricardo Antonio Henriques, M.D.
Title
Physician
Phone
(321) 631-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU 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 2

IdentifierTypeStateIssuer
ME41259OtherFLFL LICENSE
05511OtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

503 Delannoy Ave
Cocoa, FL 32922
Phone (321) 631-6995

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1043600216",
    "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": {
        "organization_name": "RICARDO ANTONIO HENRIQUES M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "HENRIQUES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-631-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME41259",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "05511",
            "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 Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.