Individual provider Active NPI

Ramon Marzo Matos, RN, RBT

  • Registered Nurse
  • Miami, FL
National Provider Identifier
1780411280
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9667124 Issued in FL
Practice address
15660 SW 72ND St
Miami, FL 33193-1923
Phone
(786) 697-1150
NPI assigned
Sep 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-224424 FL
Community Health Registered Nurse 163WC1500X RN9667124 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9667124 FL
Registered Nurse 163W00000X RN9667124 FL Primary

Addresses

Primary practice location

15660 SW 72ND St
Miami, FL 33193-1923

Mailing address

11288 SW 234TH Ter
Homestead, FL 33032-6271
Phone (786) 768-3853

Other identifiers 2

IdentifierTypeStateIssuer
RN9667124OtherFLFLORIDA BOARD OF NURSING
RBT-22-224424OtherFLBACB

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RBT-22-224424FLMDBehavior Technician
RN9667124FLMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1780411280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11288 SW 234TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326271",
            "telephone_number": "786-768-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15660 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931923",
            "telephone_number": "786-697-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZO MATOS",
        "first_name": "RAMON",
        "credential": "RN, RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-224424",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9667124",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9667124",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9667124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "RN9667124",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-22-224424",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.