Organization Active NPI

RM Healthcare LLC

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1639698939
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN203 Issued in FL
Legal business name
RM HEALTHCARE LLC
Practice address
2202 SE 17TH St
Ocala, FL 34471-2623
Phone
(352) 209-3574
Fax
(352) 304-6351
NPI assigned
Sep 18, 2017
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Luz D Rosario-Maisonet, MD
Title
President
Phone
(352) 204-9866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN203 FL Primary

Addresses

Primary practice location

2202 SE 17TH St
Ocala, FL 34471-2623

Mailing address

2202 SE 17TH St
Ocala, FL 34471-2623
Phone (352) 209-3574

Other practice location 1

2202 SE 17th St
Ocala, FL 34471-2623
Phone (352) 209-3574

Other identifiers 1

IdentifierTypeStateIssuer
001015100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180122000834 FL Part B Supplier - Clinic/Group Practice 1850650870 Receives reassigned benefits from 2 practitioners
Practice locations: Ocala, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2141746RM Healthcare, LLC2202 SE 17TH St, Ocala, FL 34471Certificate of waiverDec 19, 2027

National Provider Directory

National Provider Directory

Locations

2403 SE 17th St
Ste 101
Ocala, FL 34471

8620 SW 103rd Street Rd
Ocala, FL 34481
Phone (352) 209-3574

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1639698939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712623",
            "telephone_number": "352-209-3574",
            "fax_number": "352-304-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712623",
            "telephone_number": "352-209-3574",
            "fax_number": "352-304-6351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 SE 17th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344712623",
            "country_code": "US",
            "telephone_number": "352-209-3574",
            "fax_number": "352-304-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "ROSARIO-MAISONET",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-204-9866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.