Individual provider Active NPI

Ramon Estape Jr.

  • Psychologist
  • South Miami, FL
National Provider Identifier
1740309483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4148 Issued in FL
Practice address
7711 SW 62ND Ave
#202
South Miami, FL 33143-4912
Phone
(305) 667-0047
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY4148 FL Primary

Addresses

Primary practice location

7711 SW 62ND Ave
#202
South Miami, FL 33143-4912

Mailing address

7711 SW 62ND Ave
#202
South Miami, FL 33143-4912
Phone (305) 667-0047

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY4148FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740309483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 SW 62ND AVE",
            "address_2": "#202",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434912",
            "telephone_number": "305-667-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 SW 62ND AVE",
            "address_2": "#202",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434912",
            "telephone_number": "305-667-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTAPE",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.