Active NPI
Javier Ricardo MD PA
- General Practice Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME92030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Javier Ricardo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273137100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051017001023 | FL | Part B Supplier - Clinic/Group Practice | 4284669011 | Receives reassigned benefits from 5 practitioners |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1609365907
FL, General Practice
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.