Organization Active NPI

Alra

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1649333162
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC3852 Issued in FL
Legal business name
ALRA
Doing business as
Alra
Practice address
3658 Boone Park Ave
Jacksonville, FL 32205-9031
Phone
(904) 384-0447
Fax
(904) 384-0447
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Mr. Al Ramos, RPSGT
Title
Owner
Phone
(904) 384-0447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC3852 FL Primary

Addresses

Primary practice location

3658 Boone Park Ave
Jacksonville, FL 32205-9031

Mailing address

3658 Boone Park Ave
Jacksonville, FL 32205-9031
Phone (904) 384-0447

Other identifiers 1

IdentifierTypeStateIssuer
V2810OtherFLBCBS

Other names 1

  • ALRA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1649333162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 BOONE PARK AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059031",
            "telephone_number": "904-384-0447",
            "fax_number": "904-384-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 BOONE PARK AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059031",
            "telephone_number": "904-384-0447",
            "fax_number": "904-384-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-384-0447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC3852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V2810",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALRA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.