Mario Jose Remirez Jr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9100248 Issued in FL

Practice address

3855 S John Young Pkwy
Orlando, FL 32839-8652

Phone

(407) 446-5760

Fax

(407) 836-3315

NPI assigned

Sep 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Orange County Correctional Facility Pharmacy Department

  • Prison Health Clinic/Center
  • Orlando, FL
  • NPI 1538376850
  NPD (past)

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1083049241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4970",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328024970",
            "telephone_number": "407-446-5760",
            "fax_number": "407-836-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 S JOHN YOUNG PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398652",
            "telephone_number": "407-446-5760",
            "fax_number": "407-836-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMIREZ",
        "first_name": "MARIO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relife Foundation
• Relik Enterprise LLC
• Relyancecorp
• Gillian Rembert, RBT
• Remind Counseling Services
• Austin Ryan Remmers, SRNA
• Ronald Harry Rempfer Jr., MD
• Remy Thrive District LLC
• Gregoire Remy, CFO
• John Ralph Remy

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.