Individual provider Active NPI

Ramon A Rodriguez, PAC

  • Orthopaedic Surgery Physician
  • North Palm BCH, FL
National Provider Identifier
1124068440
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
PA9102193 Issued in FL
Practice address
733 US Hwy 1
Orthopaedic Care Specialists
North Palm BCH, FL 33408
Phone
(561) 840-1090
Fax
(561) 840-0791
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X PA9102193 FL Primary

Addresses

Primary practice location

733 US Hwy 1
Orthopaedic Care Specialists
North Palm BCH, FL 33408

Mailing address

733 US Hwy 1
North Palm BCH, FL 33408
Phone (561) 840-1090

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130809000193 FL Practitioner - Physician Assistant 5496997132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102193FLMDOrthopaedic Surgery Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1124068440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 US HWY 1",
            "city": "NORTH PALM BCH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-840-1090",
            "fax_number": "561-840-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 US HWY 1",
            "address_2": "ORTHOPAEDIC CARE SPECIALISTS",
            "city": "NORTH PALM BCH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-840-1090",
            "fax_number": "561-840-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAMON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "PA9102193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm BCH, FL

Sources for this page

Verify at the official NPI Registry.