Ricardo J. Larrain M.D., P.a.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

ME0062589 Issued in FL

Legal business name

RICARDO J. LARRAIN M.D., P.A.

Practice address

800 W Plymouth Ave
Deland, FL 32720-3215

Phone

(386) 736-1404

Fax

(386) 736-1423

NPI assigned

Apr 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo J Larrain, M.D.NPI 1154483634

Title

Owner

Phone

(386) 736-1404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Jose Larrain, MD

  • Obstetrics & Gynecology Physician
  • Deland, FL
  • NPI 1154483634
  Medicare reassignment NPD Authorized official
• Pamela Clover Brunson, ARNP

  • Family Nurse Practitioner
  • Lexington, TN
  • NPI 1013345529

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1225201841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203215",
            "telephone_number": "386-736-1404",
            "fax_number": "386-736-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203215",
            "telephone_number": "386-736-1404",
            "fax_number": "386-736-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO J. LARRAIN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "LARRAIN",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-736-1404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME0062589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Reynolds, PTA
• Shahab Rezvani, MD
• Shawn Marie Rhodes, PHARM.D
• Diana O. Rhys, ARNP
• David Riascos, MD
• Michaela Christine Rich
• Patricia A Richeson, LCSW
• Lisa Rickman
• Karina Ann Ricko, LCSW
• Ride to Care Transit LLC

• Obstetrics Physician in Deland, FL
• Providers in Deland, FL by specialty
• Obstetrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.