Organization Active NPI

Javier Ricardo MD PA

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1255355665
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME92030 Issued in FL
Legal business name
JAVIER RICARDO MD PA
Practice address
7000 W 12TH Ave Ste 12
Hialeah, FL 33014-5154
Phone
(305) 267-6774
Fax
(305) 267-8482
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Javier Ricardo, MDNPI 1770536690
Title
President
Phone
(305) 302-7257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME92030 FL Primary

Addresses

Primary practice location

7000 W 12TH Ave Ste 12
Hialeah, FL 33014-5154

Mailing address

7000 W 12TH Ave Ste 12
Hialeah, FL 33014-5154
Phone (305) 267-6774

Other identifiers 1

IdentifierTypeStateIssuer
273137100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051017001023 FL Part B Supplier - Clinic/Group Practice 4284669011 Receives reassigned benefits from 5 practitioners

National Provider Directory

National Provider Directory

Locations

415 E 39th St
Hialeah, FL 33013
Phone (305) 298-1814

343 W 44th St
Hialeah, FL 33012
Phone (305) 512-9105

326 W 11th St
Hialeah, FL 33010
Phone (305) 887-8110

7000 W 12th Ave
Ste 12
Hialeah, FL 33014
Phone (305) 267-6774

2461 W 72nd Pl
#3
Hialeah, FL 33016
Phone (305) 343-9971

29100 SW 172nd Ave
Homestead, FL 33030
Phone (305) 439-7101

13335 SW 124th St
Ste 106
Miami, FL 33186
Phone (786) 354-1758

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1255355665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W 12TH AVE STE 12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145154",
            "telephone_number": "305-267-6774",
            "fax_number": "305-267-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 12TH AVE STE 12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145154",
            "telephone_number": "305-267-6774",
            "fax_number": "305-267-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER RICARDO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "RICARDO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-302-7257",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME92030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273137100",
            "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 Apr 23, 2024; 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.