Individual provider Active NPI

Armando G. Jarrin, NCTMB

  • Specialist
  • Vero Beach, FL
National Provider Identifier
1093954414
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA27654 Issued in FL
Practice address
973 37TH PL
Vero Beach, FL 32960-6541
Phone
(772) 567-2230
Fax
(772) 567-2790
NPI assigned
Feb 9, 2009
Last updated
Nov 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA27654 FL Primary

Addresses

Primary practice location

973 37TH PL
Vero Beach, FL 32960-6541

Mailing address

PO Box 650852
Vero Beach, FL 32965-0852
Phone (772) 567-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA27654FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1093954414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650852",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329650852",
            "telephone_number": "772-567-2230",
            "fax_number": "772-567-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606541",
            "telephone_number": "772-567-2230",
            "fax_number": "772-567-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRIN",
        "first_name": "ARMANDO",
        "middle_name": "G.",
        "credential": "NCTMB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA27654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.