Individual provider Active NPI

Jose Zaldivar Ricardo, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1326758293
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023190 Issued in FL
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

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215000038 FL Practitioner - Nurse Practitioner 5496127771 Reassigns benefits to 2 organizations

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
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

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 Home health agency, Saint Petersburg, FL, CCN 687096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11023190FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Medical Center Corp CurrentSince Jan 21, 2025 Accepting new patients
Florida Pain Relief Group PLLC Nurse Practitioner CurrentSince Feb 16, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.