Active NPI
Eduardo Ragolta Jr MD PA
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1598074387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0053249
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064609100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.