Individual provider Active NPI

Roberto Eddie Ramirez, DMD

  • General Practice Dentistry
  • Delray Beach, FL
National Provider Identifier
1417515743
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24118 Issued in FL
Practice address
6290 Linton Blvd Ste 202
Delray Beach, FL 33484-6409
Phone
(561) 381-4744
Fax
(561) 381-4743
NPI assigned
Jun 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN24118 FL Primary

Addresses

Primary practice location

6290 Linton Blvd Ste 202
Delray Beach, FL 33484-6409

Mailing address

4525 SW 84TH Ave
Miami, FL 33155-4244
Phone (305) 962-6612

Other practice location 1

4634 S 25th St
Fort Pierce, FL 34981-5057
Phone (772) 242-9904

Other practice location 2

150 SW Chamber Ct Ste 201
Port Saint Lucie, FL 34986-3413
Phone (772) 336-8253

Other practice location 3

672 NW Prima Vista Blvd
#202
Port Saint Lucie, FL 34983
Phone (772) 905-2741

Other practice location 4

11200 SW Village Pkwy Ste 106
Port Saint Lucie, FL 34987-2384
Phone (772) 800-6535

Other practice location 5

4525 SW 84th Ave
Miami, FL 33155-4244
Phone (305) 962-6612

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN24118FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dentihealth LLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

150 SW Chamber Ct
Ste 201
Port St Lucie, FL 34986
Phone (772) 335-0993

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1417515743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SW 84TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554244",
            "telephone_number": "305-962-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 LINTON BLVD STE 202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846409",
            "telephone_number": "561-381-4744",
            "fax_number": "561-381-4743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4634 S 25th St",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349815057",
            "country_code": "US",
            "telephone_number": "772-242-9904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 SW Chamber Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349863413",
            "country_code": "US",
            "telephone_number": "772-336-8253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "672 NW Prima Vista Blvd",
            "address_2": "#202",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "34983",
            "country_code": "US",
            "telephone_number": "772-905-2741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11200 SW Village Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349872384",
            "country_code": "US",
            "telephone_number": "772-800-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 SW 84th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331554244",
            "country_code": "US",
            "telephone_number": "305-962-6612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ROBERTO",
        "middle_name": "EDDIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-01",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.