Aymee Jaramillo Rivas, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DN20454 Issued in FL

Practice address

9776 San Jose Blvd Ste 1
Jacksonville, FL 32257-5464

Phone

(904) 475-2177

Fax

(904) 503-7944

NPI assigned

Aug 15, 2012

Last updated

Jan 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1871841379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 SUNBEAM STATION CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575281",
            "telephone_number": "626-488-6546",
            "fax_number": "904-503-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 SAN JOSE BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575464",
            "telephone_number": "904-475-2177",
            "fax_number": "904-503-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO RIVAS",
        "first_name": "AYMEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Parrales Jansson, NP
• Christine Nelson Januchowski, APRN, CRNA
• Jeffrey R Janus, MD
• Carolyn Marie Janzen
• James P Jaques, DO
• David H Jaramillo, MD
• Jayne Nicole Jaramillo, MSN, CCNS, RN
• Kimberly S Jarczyk, ARNP
• Michiko Jardine, LMT
• Tambi Jarmi, MD

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.

Verify at the official NPI Registry.