NPIMap

Organization Active NPI

Ricardo Navarro D.O., P.a.

  • Internal Medicine Physician
  • Lake Wales, FL
National Provider Identifier
1760947857
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RICARDO NAVARRO D.O., P.A.
Practice address
1137 Druid Cir
Lake Wales, FL 33853-4339
Phone
(863) 949-6541
Fax
(863) 949-6538
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Ricardo Navarro, DONPI 1346628971
Title
President
Phone
(863) 949-6541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1137 Druid Cir
Lake Wales, FL 33853-4339

Mailing address

1137 Druid Cir
Lake Wales, FL 33853-4339
Phone (863) 949-6541

Other practice location 1

2433 State Road 60 E
Lake Wales, FL 33898-5122
Phone (863) 676-2717

Other identifiers 2

IdentifierTypeStateIssuer
1346628971OtherFLNPI
OS14384OtherFLFLORIDA BOARD OF OSTEOPATHIC MEDICINE

Other names 1

  • Navarro Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190325001041 FL Part B Supplier - Clinic/Group Practice 7315287620 Receives reassigned benefits from 5 practitioners
Practice locations: Lake Wales, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1760947857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 DRUID CIR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534339",
            "telephone_number": "863-949-6541",
            "fax_number": "863-949-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 DRUID CIR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534339",
            "telephone_number": "863-949-6541",
            "fax_number": "863-949-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2433 State Road 60 E",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338985122",
            "country_code": "US",
            "telephone_number": "863-676-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICARDO NAVARRO D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-949-6541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346628971",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF OSTEOPATHIC MEDICINE",
            "identifier": "OS14384",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navarro Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Navarro Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.