Individual provider Active NPI

Rafael Ramirez, MD

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1922081512
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14564 Issued in PR
Practice address
11924 Balm Riverview Road
Hillsborough
Riverview, FL 33569-3356
Phone
(813) 717-9000
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14564 PR Primary

Addresses

Primary practice location

11924 Balm Riverview Road
Hillsborough
Riverview, FL 33569-3356

Mailing address

11924 Balm Riverview Road
Hillsborough
Riverview, FL 33569
Phone (787) 447-8989

Other practice location 1

369 Calle De Diego
Torre Hosp San Francisco Suite 601
San Juan, PR 00923-3003
Phone (787) 367-2602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040817001203 PR Practitioner - Internal Medicine 6608849666 Practice locations: Rio Piedras, PR
I20220325000512 FL Practitioner - Internal Medicine 6608849666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Ave Jose de Diego
369 Torre Hospital San Francisco Suite 601
Rio Piedras, PR 00923-0001
Phone (787) 367-2602

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Verimed Health Group, Riverview LLC CurrentSince Apr 1, 2022 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Past Accepting new patients

Locations

11924 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 672-3200

Interoperability endpoints

  • Direct secure messaging: rafael.ramirez.1@21207.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1922081512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 BALM RIVERVIEW ROAD",
            "address_2": "HILLSBOROUGH",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33569",
            "telephone_number": "787-447-8989",
            "fax_number": "787-545-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11924 BALM RIVERVIEW ROAD",
            "address_2": "HILLSBOROUGH",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335693356",
            "telephone_number": "813-717-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 Calle De Diego",
            "address_2": "Torre Hosp San Francisco Suite 601",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009233003",
            "country_code": "US",
            "telephone_number": "787-367-2602",
            "fax_number": "787-773-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.