Organization Active NPI

Mario J Ramos, M.D. PA

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1114384112
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
HCC12085 Issued in FL
Legal business name
MARIO J RAMOS, M.D. PA
Practice address
2646 W 68TH PL
Hialeah, FL 33016-5404
Phone
(786) 253-6175
Fax
(786) 253-6175
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Mario J Ramos, M.D.
Title
President
Phone
(786) 253-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X HCC12085 FL Primary

Addresses

Primary practice location

2646 W 68TH PL
Hialeah, FL 33016-5404

Mailing address

2646 W 68TH PL
Hialeah, FL 33016-5404
Phone (786) 253-6175

Other identifiers 1

IdentifierTypeStateIssuer
ME125217OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1114384112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 W 68TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165404",
            "telephone_number": "786-253-6175",
            "fax_number": "786-253-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 W 68TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165404",
            "telephone_number": "786-253-6175",
            "fax_number": "786-253-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO J RAMOS, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-253-6175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "HCC12085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME125217",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.