Active NPI
Jose Zaldivar Ricardo, APRN
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11023190
- Practice address
- 8726 W Waters Ave
Tampa, FL 33615-1714 - Phone
- (813) 712-1726
- Fax
- (813) 925-4640
- NPI assigned
- Dec 1, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11023190 | FL | Primary |
Addresses
Primary practice location
8726 W Waters Ave
Tampa, FL 33615-1714
Mailing address
4709 Onyx PL
Tampa, FL 33615-4923
Phone (813) 723-0546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 E Fletcher Ave
Suite 350
Tampa, FL 33613-4699
Phone (813) 739-7493
5352 N Habana Ave
Suite B
Tampa, FL 33614-6838
Phone (813) 756-1956
6449 102ND Ave N
Pinellas Park, FL 33782-3027
Phone (727) 350-0450
Hospital & facility affiliations
- Gulf Breeze Home Health Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023190 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Medical Center Corp | Current | Accepting new patients | |
| Florida Pain Relief Group PLLC | Nurse Practitioner | Current | Accepting new patients |
| Sweet Home Health LLC | Current | Accepting new patients | |
| Charles K Friedman DO PA | Past | Accepting new patients |
Locations
10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001
6449 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 350-0450
5352 N Habana Ave
Ste B
Tampa, FL 33614
Phone (813) 756-1956
3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
Nurse Practitioner
-
- Primary Care Clinic/Center
- Tampa, FL
- NPI 1053131466
-
- Home Health Agency
- Tampa, FL
- NPI 1346938206
-
- Interventional Pain Medicine Physician
- St Petersburg, FL
- NPI 1982622775
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- St Petersburg, FL
- NPI 1730646605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1326758293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 ONYX PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154923",
"telephone_number": "813-723-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8726 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336151714",
"telephone_number": "813-712-1726",
"fax_number": "813-925-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALDIVAR RICARDO",
"first_name": "JOSE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-01",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11023190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.