NPI Code Detail JSON Logo

1013883875 NPI number — JERKIN J RAVELO ALMONTE

NPI Number: 1013883875
Health Care Provider/Practitioner: JERKIN J RAVELO ALMONTE

Information about “1013883875” NPI (JERKIN J RAVELO ALMONTE) exists in 1013883875 in HTML format HTML  |  1013883875 in plain Text format TXT  |  1013883875 in PDF (Portable Document Format) PDF  |  1013883875 in an XML format XML  formats.

NPI Number : 1013883875 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013883875",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAVELO ALMONTE",
    "FirstName": "JERKIN",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAVELO",
    "OtherFirstName": "JANDEL",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4956 DOCKSIDE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32822-2335",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "321-330-8792",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 COLOR PL # 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "APOPKA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32703-7717",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-754-0398",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/16/2025",
    "LastUpdateDate": "10/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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