Individual provider Active NPI

Jayson Ramirez Reyes

  • Family Nurse Practitioner
  • Guaynabo, PR
National Provider Identifier
1770248957
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4057 Issued in PR
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

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4057PRMDSpeech-Language Pathologist
11015903FLMDFamily 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

Sources for this page

Verify at the official NPI Registry.