Individual provider Active NPI

Bernarda Antonieta Cedano Ramirez, PA

  • Physician Assistant
  • Davenport, FL
National Provider Identifier
1245876176
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2838 Issued in PR
Practice address
280 Whirlaway Dr
Davenport, FL 33837-3652
Phone
(318) 990-6676
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 19-457 FL
Surgical Assistant 246ZC0007X 0136001005 VA
Surgical Assistant 246ZC0007X 5108 DC
Physician Assistant 363A00000X 2838 PR Primary
Surgical Physician Assistant 363AS0400X 2838 PR
Surgical Assistant 246ZC0007X 238000672 IL

Addresses

Primary practice location

280 Whirlaway Dr
Davenport, FL 33837-3652

Mailing address

280 Whirlaway Dr
Davenport, FL 33837-3652
Phone (318) 990-6676

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5108DCMDGeneral Practice Dentistry
2838PRMDPharmacist
19-457FLMDSurgical Assistant
238000672ILMDSurgical Assistant
0136001005VAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1245876176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 WHIRLAWAY DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373652",
            "telephone_number": "318-990-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WHIRLAWAY DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373652",
            "telephone_number": "318-990-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDANO RAMIREZ",
        "first_name": "BERNARDA",
        "middle_name": "ANTONIETA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "19-457",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136001005",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "5108",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2838",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "2838",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.