Individual provider Active NPI

Eduardo Raul Ramirez, CHIROPRACTIC PHYSICI

  • Chiropractor
  • Orange Park, FL
National Provider Identifier
1699789321
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7714 Issued in FL
Practice address
784 Blanding Blvd Ste 106
Orange Park, FL 32065-7724
Phone
(305) 910-7237
Fax
(904) 276-2521
NPI assigned
Jul 28, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7714 FL Primary

Addresses

Primary practice location

784 Blanding Blvd Ste 106
Orange Park, FL 32065-7724

Mailing address

784 Blanding Blvd Ste 106
Orange Park, FL 32065-7724
Phone (305) 910-7237

Other identifiers 1

IdentifierTypeStateIssuer
381213800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1699789321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD STE 106",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657724",
            "telephone_number": "305-910-7237",
            "fax_number": "904-276-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD STE 106",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657724",
            "telephone_number": "305-910-7237",
            "fax_number": "904-276-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "EDUARDO",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTIC PHYSICI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381213800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.