Active NPI
Jose Antonio Nicolas Ramirez, PACN 104
- Physician Assistant
- Camuy, PR
National Provider Identifier
1316746464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PACN104
- Practice address
- Carr 119 KM 5.7
Camuy, PR 00627 - Phone
- (178) 782-0461
- NPI assigned
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PACN104 | FL | Primary |
Addresses
Primary practice location
Carr 119 KM 5.7
Camuy, PR 00627
Mailing address
535 Brockway Ave
Orlando, FL 32807-4825
Phone (724) 856-5721
Other practice location 1
330 W Oak St
Kissimmee, FL 34741-4443
Phone (888) 348-7363
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2505-P.A. | PR | MD | Physician Assistant |
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.
-
- Physician Assistant
- Orlando, FL
- NPI 1992618292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1316746464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 BROCKWAY AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328074825",
"telephone_number": "724-856-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 119 KM 5.7",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "178-782-0461"
}
],
"practiceLocations": [
{
"address_1": "330 W Oak St",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414443",
"country_code": "US",
"telephone_number": "888-348-7363",
"fax_number": "888-348-7363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICOLAS RAMIREZ",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "PACN 104",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-11",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "FL",
"license": "PACN104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.