Active NPI
Jose M. Rios, PA
- Surgery Physician
- Orlando, FL
National Provider Identifier
1780893362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- PA9102846
- Practice address
- 2415 N. Orange Ave
Suite 400
Orlando, FL 32804 - Phone
- (407) 303-7399
- Fax
- (407) 303-7305
- NPI assigned
- May 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | PA9102846 | FL | |
| Surgery Physician | 208600000X | PA9102846 | FL | Primary |
Addresses
Primary practice location
2415 N. Orange Ave
Suite 400
Orlando, FL 32804
Mailing address
2415 N. Orange Ave
Suite 400
Orlando, FL 32804
Phone (407) 303-7399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003919100 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Sunbelt Inc | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Orlando, FL
- NPI 1679668669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1780893362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 N. ORANGE AVE",
"address_2": "SUITE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32804",
"telephone_number": "407-303-7399",
"fax_number": "407-303-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 N. ORANGE AVE",
"address_2": "SUITE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32804",
"telephone_number": "407-303-7399",
"fax_number": "407-303-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS",
"first_name": "JOSE",
"middle_name": "M.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9102846",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "PA9102846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003919100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.