Organization Active NPI

Eduardo Ragolta Jr MD PA

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1598074387
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0053249 Issued in FL
Legal business name
EDUARDO RAGOLTA JR MD PA
Practice address
7500 SW 8TH St Ste 204
Miami, FL 33144-4400
Phone
(305) 262-0003
Fax
(305) 262-5353
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Eduardo Ragolta Jr., MD
Title
President
Phone
(305) 262-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0053249 FL Primary

Addresses

Primary practice location

7500 SW 8TH St Ste 204
Miami, FL 33144-4400

Mailing address

7500 SW 8TH St Ste 204
Miami, FL 33144-4400
Phone (305) 262-0003

Other identifiers 1

IdentifierTypeStateIssuer
064609100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1598074387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SW 8TH ST STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444400",
            "telephone_number": "305-262-0003",
            "fax_number": "305-262-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SW 8TH ST STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444400",
            "telephone_number": "305-262-0003",
            "fax_number": "305-262-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO RAGOLTA JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "RAGOLTA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0053249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064609100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.