Provider Demographics
NPI:1144068354
Name:JEAN-BAPTISTE, RICARDO (EMT)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:JEAN-BAPTISTE
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:RICARDO
Other - Middle Name:
Other - Last Name:JEAN-BAPTISTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EMT
Mailing Address - Street 1:444 NE 206TH LN APT 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1877
Mailing Address - Country:US
Mailing Address - Phone:305-761-6982
Mailing Address - Fax:
Practice Address - Street 1:444 NE 206TH LN APT 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1877
Practice Address - Country:US
Practice Address - Phone:305-761-6982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X
FL515811253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No372500000XNursing Service Related ProvidersChore Provider