Individual provider Active NPI

Ruben Ocasio-Ferrer, M.D.

  • Psychiatry Physician
  • Fort Myers, FL
National Provider Identifier
1427095314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME94796 Issued in FL
Practice address
12734 Kenwood LN
Ste 84
Ft Myers, FL 33907-5666
Phone
(239) 936-5250
Fax
(239) 936-9970
NPI assigned
Jun 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME94796 FL Primary

Addresses

Primary practice location

12734 Kenwood LN
Ste 84
Ft Myers, FL 33907-5666

Mailing address

111 Southampton Dr
Kissimmee, FL 34744-8445
Phone (863) 224-2110

Other identifiers 1

IdentifierTypeStateIssuer
274281100MedicaidFL

Other names 1

  • Ruben Ocasio Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000088 FL Practitioner - Psychiatry 9234153180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME94796FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Resource Center Inc CurrentSince Dec 17, 2019 Accepting new patients
Mindful Integrated Medicine LLC Past Accepting new patients

Locations

11820 Beach Blvd
Jacksonville, FL 32246
Phone (904) 642-9100

3333 W 20th St
Jacksonville, FL 32254
Phone (904) 384-2364

4427 Emerson St
Ste 5
Jacksonville, FL 32207
Phone (904) 745-0042

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427095314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOUTHAMPTON DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347448445",
            "telephone_number": "863-224-2110",
            "fax_number": "407-348-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "STE 84",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339075666",
            "telephone_number": "239-936-5250",
            "fax_number": "239-936-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCASIO-FERRER",
        "first_name": "RUBEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME94796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274281100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBEN",
            "last_name": "OCASIO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.