Active NPI
Mayra Rosanna Ramirez, CNA
- Nurse's Aide
- Kissimmee, FL
National Provider Identifier
1720454150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA251557
- Practice address
- 3140 Shingle Creek CT
Kissimmee, FL 34746-6583 - Phone
- (407) 219-6531
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA251557 | FL | Primary |
Addresses
Primary practice location
3140 Shingle Creek CT
Kissimmee, FL 34746-6583
Mailing address
3140 Shingle Creek CT
Kissimmee, FL 34746-6583
Phone (407) 219-6531
Other names 1
- Mayra Rosanna Dominguez
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA251557 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1720454150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 SHINGLE CREEK CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347466583",
"telephone_number": "407-219-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 SHINGLE CREEK CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347466583",
"telephone_number": "407-219-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "MAYRA",
"middle_name": "ROSANNA",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA251557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAYRA",
"last_name": "DOMINGUEZ",
"middle_name": "ROSANNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.