Pat Ricalde, DDS MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME88289 Issued in FL

Practice address

4200 N Armenia Ave Ste 3
Tampa, FL 33607-6451

Phone

(813) 870-6000

Fax

(813) 870-6015

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: pricalde8278@direct.tgh.org

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.

• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Orlando Oral & Facial Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Park, FL
  • NPI 1205920204

  Specialist

  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1487769287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076451",
            "telephone_number": "813-870-6000",
            "fax_number": "813-870-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076451",
            "telephone_number": "813-870-6000",
            "fax_number": "813-870-6015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 Automobile Blvd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337623826",
            "country_code": "US",
            "telephone_number": "813-870-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICALDE",
        "first_name": "PAT",
        "credential": "DDS MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16594",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075756001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Ribley, DC
• Ribo & Associates
• Miguel A Ribo Sr., CSA
• Elainne Ribot Lopez
• Barbara Ricabal Valladares
• Melanie Ricardo Gomez
• Yuleidis Ricardo Proenza
• Ricardo Santayana MD PA
• Yanessa Ricardo
• Rachel Riccardo

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.