Athena Healthcare Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ATHENA HEALTHCARE INC.

Practice address

524 13TH St
Saint Cloud, FL 34769-4531

Phone

(407) 593-2814

Fax

(407) 593-2815

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Ronald Ruelle

Title

Ceo

Phone

(407) 593-2814

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivette Cardona Ruelle, M.D.

  • General Practice Physician
  • Tampa, FL
  • NPI 1356516827
  NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1972145530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694531",
            "telephone_number": "407-593-2814",
            "fax_number": "407-593-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694531",
            "telephone_number": "407-593-2814",
            "fax_number": "407-593-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "RUELLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-593-2814",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.