Active NPI
Jayson Ramirez Reyes
- Family Nurse Practitioner
- Guaynabo, PR
National Provider Identifier
1770248957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4057
- Practice address
- Cons Med Plaza Ste 307a
201 Ave Gautier Benitez
Guaynabo, PR 00725 - Phone
- (787) 957-8282
- Fax
- (787) 665-1165
- NPI assigned
- Nov 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11015903 | FL | |
| Family Nurse Practitioner | 363LF0000X | 4057 | PR | Primary |
Addresses
Primary practice location
Cons Med Plaza Ste 307a
201 Ave Gautier Benitez
Guaynabo, PR 00725
Mailing address
Cons Med Plaza Ste 307a
201 Ave Gautier Benitez
Caguas, PR 00725
Phone (787) 957-8282
Other practice location 1
4160 University Blvd S
Jacksonville, FL 32216-4317
Phone (904) 861-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220921002299 | PR | Practitioner - Nurse Practitioner | 8224415385 | Practice locations: Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4057 | PR | MD | Speech-Language Pathologist |
| 11015903 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1770248957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONS MED PLAZA STE 307A",
"address_2": "201 AVE GAUTIER BENITEZ",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-957-8282",
"fax_number": "787-665-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONS MED PLAZA STE 307A",
"address_2": "201 AVE GAUTIER BENITEZ",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-957-8282",
"fax_number": "787-665-1165"
}
],
"practiceLocations": [
{
"address_1": "4160 University Blvd S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322164317",
"country_code": "US",
"telephone_number": "904-861-1900",
"fax_number": "904-292-9264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ REYES",
"first_name": "JAYSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-03",
"last_updated": "2022-08-08",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11015903",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PR",
"license": "4057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- R&H Pediatric Epilepsy , LLC
- Omar Rabelo
- Radiation Oncology and Psychiatry Services C.S.P.
- Radiologia & Sonografia de Guaynabo
- Janice Ramirez Ramos, 0043B
- Carlos Ramirez Rodriguez, 0012B
- Randy M Ramirez Torres, 1214P
- Joann Ramirez Valentin, 1250P
- Alejandra Maria Ramirez-Colom
- Marigdalia Ramirez-Fort, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.