Organization Active NPI

Odel Ruano M D P a

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1346433562
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ODEL RUANO M D P A
Practice address
3067 Tamiami TRL
Unit 3
Port Charlotte, FL 33952-6601
Phone
(941) 258-3606
Fax
(941) 258-3370
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Odel Ruano, MD
Title
President
Phone
(941) 258-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3067 Tamiami TRL
Unit 3
Port Charlotte, FL 33952-6601

Mailing address

PO Box 380639
Murdock, FL 33938-0639
Phone (941) 258-3606

Other identifiers 1

IdentifierTypeStateIssuer
64255OtherBCBS FL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1346433562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380639",
            "city": "MURDOCK",
            "state": "FL",
            "postal_code": "339380639",
            "telephone_number": "941-258-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 TAMIAMI TRL",
            "address_2": "UNIT 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526601",
            "telephone_number": "941-258-3606",
            "fax_number": "941-258-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODEL RUANO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "RUANO",
        "authorized_official_first_name": "ODEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-258-3606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "64255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.